Organization
DR. GUPTA, EYE M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY K. GUPTA M.D. (MEMBER)
(440) 260-0404
Entity
Organization
Contact information
Practice address
5319 HOAG DR, SUTIE 260, SHEFFIELD VILLAGE, OH 44035-1494
(440) 260-0404
Mailing address
7255 OLD OAK BLVD., C411, MIDDLEBURG HTS., OH 44130
(440) 260-0404
(440) 260-0401
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
06/25/2010
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