Individual
MADHURIMA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1110 W WILLIAM CANNON DR, STE 502, AUSTIN, TX 78745-5468
(512) 474-2660
(512) 474-2170
Mailing address
1110 W WILLIAM CANNON DR, STE 502, AUSTIN, TX 78745-5468
(512) 474-2660
(512) 474-2170
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M1731
TX
Other
Enumeration date
11/28/2006
Last updated
08/05/2011
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