Individual
CHANDER K. GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,FAAP
Contact information
Practice address
4140 FERNCREEK DR, SUITE 202, FAYETTEVILLE, NC 28314-2563
(910) 486-7004
Mailing address
4140 FERNCREEK DR, SUITE 202, FAYETTEVILLE, NC 28314-2563
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9600054
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8937904
—
NC
Enumeration date
09/28/2006
Last updated
03/07/2023
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