Individual
DR. SUPRIYA GUPTA MOHILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVENUE, BOX 704, ROCHESTER, NY 14642
(585) 275-5853
Mailing address
601 ELMWOOD AVENUE, BOX 704, ROCHESTER, NY 14642
(585) 275-5853
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
235628
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02655741
—
NY
Enumeration date
11/02/2006
Last updated
07/05/2023
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