Organization
VARUN GUPTA MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VARUN GUPTA MD (OWNER)
(760) 346-7855
Entity
Organization
Contact information
Practice address
39000 BOB HOPE DR, UIHLEIN BUILDING SUITE 203, RANCHO MIRAGE, CA 92270-3221
(760) 346-7855
Mailing address
PO BOX 247, RANCHO MIRAGE, CA 92270-0247
(760) 346-7855
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A66812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A668120
BLUE SHIELD
CA
05
—
00A668120
—
CA
Enumeration date
07/15/2006
Last updated
08/22/2020
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