Gupta, Naresh K

Gupta, Naresh K is an individual health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gupta, Naresh K can be contacted via phone (253) 968-2504.

Contact Information

Primary practice address
9040 Jackson Ave Tacoma WA 98431-1100
Fax: (253) 968-1136
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X K4073 Texas

Profile Details

NPI number 1639113996
LBN Legal business name Gupta, Naresh K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 4th, 2019 - 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 1639113996 NPPES
Texas MEDICAID 097088103
Texas Other 0083EZ

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