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NPI Code Detail

MEDICARE: ARSH RICKI GUPTA M.D.

MEDICARE:   ARSH RICKI  GUPTA  M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1487037974
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARSH RICKI GUPTA M.D.
Provider Business Mailing Address
First Line : 568 PACIFIC ST APT 4D
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-2089
Country : US
Telephone Number : 929-210-1259
Fax Number :
Provider Business Practice Location Address
First Line : 568 PACIFIC ST APT 4D
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-2089
Country : US
Telephone Number : 929-210-1259
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2015
Last Update Date : 07/02/2015

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Directions to “ ARSH RICKI GUPTA M.D.” Practice Location

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