Gupta, Kiran -

Gupta, Kiran - is an sole proprietor health care provider with primary practice located at 1405 N Dobson Rd Suite 1, Chandler AZ 85224-8594. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gupta, Kiran - can be contacted via phone (480) 213-6502.

Contact Information

Primary practice address
1405 N Dobson Rd Suite 1 Chandler AZ 85224-8594
Fax: (480) 726-0197
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-2678 Arizona

Profile Details

NPI number 1528281524
LBN Legal business name Gupta, Kiran -
Credentials LCSW -2678
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 2007 - about 17 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 1528281524 NPPES
Arizona Other 11451151 CAQH DATA SUMMARY

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