Individual
RAVI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 CRAWFORD ST, SUITE 300, PORTSMOUTH, VA 23704-3820
(757) 606-1144
Mailing address
600 CRAWFORD ST, SUITE 300, PORTSMOUTH, VA 23704-3820
(757) 606-1144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116027591
VA
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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