Individual
DR. NITIN GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
1101 DRESSER CT, RALEIGH, NC 27609-7327
(919) 878-4060
(919) 256-0499
Mailing address
1101 DRESSER CT, RALEIGH, NC 27609-7327
(919) 878-4060
(919) 256-0499
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2008-00033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910128
—
NC
Enumeration date
05/17/2006
Last updated
01/26/2012
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