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Individual

SHRUTI GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4200 HOUMA BLVD FL 7, METAIRIE, LA 70006-2970
(504) 503-4331
(504) 503-4341
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
307423
LA
207Q00000X
Family Medicine Physician
34225
MS

Other

Enumeration date
04/22/2016
Last updated
05/14/2025
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