Gupta, Shobha
Gupta, Shobha is an individual health care provider with primary practice located at 3342 N.E. 34Th St. , Fort Lauderdale FL 33308-6906. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Gupta, Shobha can be contacted via phone (954) 583-7287.Contact Information
Primary practice address
3342 N.E. 34Th St.
Fort Lauderdale FL 33308-6906
Phone: (954) 583-7287
Fax: (954) 583-0535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME36479 | Florida |
Profile Details
| NPI number | 1306883038 |
|---|---|
| LBN Legal business name | Gupta, Shobha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Aug 11th, 2020 - about 5 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 | 1306883038 | NPPES |
| Florida | MEDICAID | 065100100 |
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