Healthcare Provider Details

I. General information

NPI: 1831171735
Provider Name (Legal Business Name): ARIKA GUPTA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5437 KIETZKE LN
RENO NV
89511-1088
US

IV. Provider business mailing address

5437 KIETZKE LN
RENO NV
89511-1088
US

V. Phone/Fax

Practice location:
  • Phone: 775-322-4550
  • Fax: 775-322-4956
Mailing address:
  • Phone: 775-322-4550
  • Fax: 775-322-4956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number11407
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: