Organization
SANJIV GUPTA, M.D., P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAJNI GUPTA (OFFICE MANAGER)
(606) 324-1996
Entity
Organization
Contact information
Practice address
101 ASHLAND DR, ASHLAND, KY 41101-7001
(606) 324-1996
(606) 833-2430
Mailing address
101 ASHLAND DR, ASHLAND, KY 41101-7001
(606) 324-1996
(606) 833-2430
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
32686
KY
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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