Individual
DR. SHIVANI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 8TH AVE, APT 108, SEATTLE, WA 98104-1283
(917) 370-2065
Mailing address
901 8TH AVE, APT 108, SEATTLE, WA 98104-1283
(917) 370-2065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
06/14/2011
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