Gupta, Raj K

Gupta, Raj K is an individual health care provider with primary practice located at 31 N Locust St , West Carrollton OH 45449-1407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gupta, Raj K can be contacted via phone (937) 898-7750.

Contact Information

Primary practice address
31 N Locust St West Carrollton OH 45449-1407
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35100034 Ohio

Profile Details

NPI number 1124103403
LBN Legal business name Gupta, Raj K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1124103403 NPPES
Ohio MEDICAID 0317802

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