Gupta, Mukta
Gupta, Mukta is an individual health care provider with primary practice located at 31 Hospital Dr , Massena NY 13662. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gupta, Mukta can be contacted via phone (315) 769-1099.Contact Information
Primary practice address
31 Hospital Dr
Massena NY 13662
Phone: (315) 769-1099
Fax: (315) 769-1077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 226022 | New York |
Profile Details
| NPI number | 1689673873 |
|---|---|
| LBN Legal business name | Gupta, Mukta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Apr 4th, 2014 - about 11 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 | 1689673873 | NPPES |
| New York | MEDICAID | 01897332 |
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