Individual
DR. PRAMOD KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0185
(214) 857-0173
Mailing address
2704 OATES DR, PLANO, TX 75093-3364
(972) 636-5904
(775) 855-4624
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01057371A
IN
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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