Individual
KARANVIR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
283 N PECOS RD STE 120, HENDERSON, NV 89074-1918
(702) 357-5814
(886) 739-9251
Mailing address
283 N PECOS RD STE 120, HENDERSON, NV 89074-1918
(702) 357-5814
(886) 739-9251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17418
NV
207Q00000X
Family Medicine Physician
RL13320
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17418
STATE LICENSE
NV
05
—
1912313263
—
NV
Enumeration date
07/08/2014
Last updated
12/01/2024
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