Individual
ISHA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4360 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 476-0494
(801) 479-3937
Mailing address
4360 WASHINGTON BLVD, ATTN CREDENTIALING, OGDEN, UT 84403-1866
(801) 476-0494
(801) 479-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12879547-1205
UT
Other
Enumeration date
05/05/2015
Last updated
02/22/2023
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