Individual
MONESHA L GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, 500, HOUSTON, TX 77030-3000
(832) 325-6516
(713) 512-2230
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
K1829
TX
2080P0202X
Pediatric Cardiology Physician
Primary
K1829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153124601
—
TX
01
—
8F7503
BCBS
TX
Enumeration date
07/18/2006
Last updated
08/05/2016
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