Gupta, Nupur
Gupta, Nupur is an individual health care provider with primary practice located at 55 Fruit St Yawkey 6 D, Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Gupta, Nupur can be contacted via phone (617) 643-1201.Contact Information
Primary practice address
55 Fruit St Yawkey 6 D
Boston MA 02114-2621
Phone: (617) 643-1201
Fax: (617) 726-0581
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 152951 | Massachusetts |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 152951 | Massachusetts |
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 152951 | Massachusetts |
Profile Details
NPI number | 1710099064 |
---|---|
LBN Legal business name | Gupta, Nupur |
Credentials | M.D., M.P.H. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Dec 27th, 2012 - about 13 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 | 1710099064 | NPPES |
Massachusetts | MEDICAID | 3192555 |
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