Gupta, Manju
Gupta, Manju is an individual health care provider with primary practice located at 100 River Valley Blvd , New Richmond OH 45157-8566. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Gupta, Manju can be contacted via phone (513) 553-3114.Contact Information
Primary practice address
100 River Valley Blvd
New Richmond OH 45157-8566
Phone: (513) 553-3114
Fax: (513) 553-1032
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 35044556 | Ohio |
Profile Details
NPI number | 1093797318 |
---|---|
LBN Legal business name | Gupta, Manju |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 14th, 2005 |
Last updated | Sep 10th, 2020 - about 5 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 | 1093797318 | NPPES |
Ohio | MEDICAID | 0418766 |
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