Gupta, Neena R
Gupta, Neena R is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Pediatrics, Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Gupta, Neena R can be contacted via phone (774) 442-5695.Contact Information
Primary practice address
55 Lake Ave N Department Of Pediatrics
Worcester MA 01655-0002
Phone: (774) 442-5695
Fax: (774) 443-7399
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD11111 | Rhode Island |
Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | MD11111 | Rhode Island |
Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 242003 | Massachusetts |
Profile Details
NPI number | 1972615052 |
---|---|
LBN Legal business name | Gupta, Neena R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Oct 28th, 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 | 1972615052 | NPPES |
Rhode Island | MEDICAID | N655193 | |
Rhode Island | Other | 00137071 | |
Rhode Island | MEDICAID | 110083785A | |
Rhode Island | Other | 241728 | |
Rhode Island | Other | 28463 | |
Rhode Island | Other | 001370701 | |
Rhode Island | Other | 1203613 | |
Rhode Island | Other | 410398 |
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