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NPI Code Detail

MEDICARE: MONIKA GUPTA

MEDICARE: MONIKA GUPTA
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1861827875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIKA GUPTA
Provider Business Mailing Address
First Line : 107 PARK JAMES WAY
Second Line :
City : CARY
State : NC
Zip : 27518-6822
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 314 CHAPANOKE RD
Second Line :
City : RALEIGH
State : NC
Zip : 27603-3400
Country : US
Telephone Number : 919-773-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2013
Last Update Date : 06/22/2023

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Directions to “ MONIKA GUPTA ” Practice Location

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