Individual
DR. CHETAN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7300 BEECHMONT AVE, CINCINNATI, OH 45230-4119
(513) 232-9100
(513) 232-9100
Mailing address
7300 BEECHMONT AVE, CINCINNATI, OH 45230-4119
(513) 232-9100
(513) 232-3333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35094424
OH
208600000X
Surgery Physician
35094424
OH
208D00000X
General Practice Physician
Primary
35094424
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004895
—
OH
Enumeration date
03/28/2007
Last updated
10/31/2019
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