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
Fax: (513) 553-1032
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093797318 NPPES
Ohio MEDICAID 0418766

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