Gupta, Madhavi

Gupta, Madhavi is an individual health care provider with primary practice located at 1 Medical Center Blvd Acp #533, Upland PA 19013-3902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Gupta, Madhavi can be contacted via phone (610) 874-1184.

Contact Information

Primary practice address
1 Medical Center Blvd Acp #533 Upland PA 19013-3902
Fax: (610) 874-4258
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD422863 Pennsylvania

Profile Details

NPI number 1942238126
LBN Legal business name Gupta, Madhavi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Dec 5th, 2007 - about 18 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 1942238126 NPPES
Pennsylvania MEDICAID 1017194730

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