Gupta, Mala

Gupta, Mala is an individual health care provider with primary practice located at 222 Station Plz N Suite 606, Mineola NY 11501-3808. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Gupta, Mala can be contacted via phone (516) 663-4533.

Contact Information

Primary practice address
222 Station Plz N Suite 606 Mineola NY 11501-3808
Phone: (516) 663-4533
Fax: (516) 663-8824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 187402 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 187402 New York

Profile Details

NPI number 1750343489
LBN Legal business name Gupta, Mala
Credentials M.D., F.I.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jun 10th, 2010 - about 14 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 1750343489 NPPES
New York MEDICAID 01630262

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