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NPI Code Detail

MEDICARE: DR. ANUSHREE GUPTA MD

MEDICARE:  DR. ANUSHREE  GUPTA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianA126104CA
2207Q00000XFamily Medicine PhysicianA126104CA

General Provider Information

NPI Number : 1043574403
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANUSHREE GUPTA MD
Provider Business Mailing Address
First Line : 4150 CHICAGO AVE # 53038
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-5369
Country : US
Telephone Number : 951-901-3986
Fax Number :
Provider Business Practice Location Address
First Line : 6850 BROCKTON AVE STE 108
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-3814
Country : US
Telephone Number : 951-901-3986
Fax Number : 951-610-0783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2012
Last Update Date : 05/08/2025

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Directions to “ DR. ANUSHREE GUPTA MD” Practice Location

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