Individual
DR. RICHA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1110 BROAD AVE, SUITE 500, GULFPORT, MS 39501-8907
(228) 575-2588
(228) 864-4154
Mailing address
1110 BROAD AVE, SUITE 500, GULFPORT, MS 39501-8907
(228) 575-2588
(228) 864-4154
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007006085
MO
207RR0500X
Rheumatology Physician
Primary
22001
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03575076
—
MS
Enumeration date
07/31/2008
Last updated
02/17/2016
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