Individual
ISHA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940
(845) 342-4774
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
279636
NY
207RN0300X
Nephrology Physician
Primary
279636
NY
Other
Enumeration date
01/10/2013
Last updated
08/06/2018
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