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
Fax: (774) 443-7399
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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