Individual
RAEGAN WETZEL GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 899-9511
Mailing address
347 HELIOS AVE, METAIRIE, LA 70005-3756
(337) 739-4153
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
202693
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982342
—
LA
Enumeration date
05/02/2007
Last updated
08/11/2011
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