Gupta, Asha

Gupta, Asha is an sole proprietor health care provider with primary practice located at 260 Riverside Dr , Johnson City NY 13790-2727. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Gupta, Asha can be contacted via phone (607) 798-7811.

Contact Information

Primary practice address
260 Riverside Dr Johnson City NY 13790-2727
Fax: (607) 770-7035
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 1243061 New York

Profile Details

NPI number 1669463691
LBN Legal business name Gupta, Asha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Apr 23rd, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669463691 NPPES
New York MEDICAID 00775860

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