Individual
SUBHASH C GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E SAMPLE ROAD, SUITE 105, POMPANO BEACH, FL 33064
(954) 943-1133
(954) 783-6845
Mailing address
601 E. SAMPLE ROAD, SUITE 105, POMPANO BEACH, FL 33064
(954) 344-2522
(954) 344-9189
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME43566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042423400
—
FL
Enumeration date
05/01/2006
Last updated
05/16/2012
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