Gupta, Anjali
Gupta, Anjali is an individual health care provider with primary practice located at 2460 Nw Stewart Pkwy Suite 102, Roseburg OR 97471-1516. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Gupta, Anjali can be contacted via phone (541) 677-2494.Contact Information
Primary practice address
2460 Nw Stewart Pkwy Suite 102
Roseburg OR 97471-1516
Phone: (541) 677-2494
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD61204532 | Washington |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD61204532 | Washington |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD167029 | Oregon |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 61-003355 | New York |
Profile Details
NPI number | 1104074715 |
---|---|
LBN Legal business name | Gupta, Anjali |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 8th, 2008 |
Last updated | Nov 10th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104074715 | NPPES |
New York | MEDICAID | 03126478 |
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