Gupta, Renu

Gupta, Renu is an sole proprietor health care provider with primary practice located at 55 Mohawk St , Cohoes NY 12047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gupta, Renu can be contacted via phone (518) 235-1119.

Contact Information

Primary practice address
55 Mohawk St Cohoes NY 12047
Fax: (518) 235-8702
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 163569 New York

Profile Details

NPI number 1942235213
LBN Legal business name Gupta, Renu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Dec 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942235213 NPPES
New York MEDICAID 01160003

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