Individual
RAJENDRA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10257 STATE ROUTE 3, RED BUD, IL 62278-4418
(618) 282-6233
(618) 282-6949
Mailing address
13217 DUNROYAL DR, SAINT LOUIS, MO 63131-1919
(314) 965-4579
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
IL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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