Gupta, Ravi
Gupta, Ravi is an individual health care provider with primary practice located at 2075 W Pecos Rd, Suite#2 , Chandler AZ 85224-5693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gupta, Ravi can be contacted via phone (480) 289-4550.Contact Information
Primary practice address
2075 W Pecos Rd, Suite#2
Chandler AZ 85224-5693
Phone: (480) 289-4550
Fax: (602) 765-9513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33007 | Arizona |
Profile Details
| NPI number | 1790751949 |
|---|---|
| LBN Legal business name | Gupta, Ravi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Oct 11th, 2011 - about 14 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 | 1790751949 | NPPES |
| Arizona | MEDICAID | 866965 | |
| Arizona | Other | P00271516 |
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