Gupta, Shivani

Gupta, Shivani is an individual health care provider with primary practice located at 13652 Cantara St Building 2, Panorama City CA 91402-5423. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Gupta, Shivani can be contacted via phone (818) 375-1750.

Contact Information

Primary practice address
13652 Cantara St Building 2 Panorama City CA 91402-5423
Phone: (818) 375-1750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301097505 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 137240 California

Profile Details

NPI number 1194920595
LBN Legal business name Gupta, Shivani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Sep 3rd, 2015 - about 9 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 1194920595 NPPES
California Other 137240 MEDICAL LICENSE

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