Individual
MS. SIDDHI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 RANDOLPH RD STE 216, CHARLOTTE, NC 28207-1106
(704) 316-5330
(704) 316-5332
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
2020-03845
NC
Other
Enumeration date
04/14/2014
Last updated
08/18/2021
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