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Individual

PREETI GUPTA

Active
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Individual

PREETI GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.153579
IL
207R00000X
Internal Medicine Physician
A196707
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A196707
CA
207RP1001X
Pulmonary Disease Physician
A196707
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036.153579
ILLINOIS MEDICAL LICENSE
IL
Enumeration date
04/13/2017
Last updated
08/29/2024
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