Healthcare Provider Details

I. General information

NPI: 1033513205
Provider Name (Legal Business Name): SONIKA GUPTA, M.D., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 06/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8042 WURZBACH RD STE 230
SAN ANTONIO TX
78229-3806
US

IV. Provider business mailing address

8042 WURZBACH RD., STE. 230
SAN ANTONIO TX
78229
US

V. Phone/Fax

Practice location:
  • Phone: 210-963-6100
  • Fax: 210-461-5060
Mailing address:
  • Phone: 210-963-6100
  • Fax: 210-461-5060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: SONIKA GUPTA
Title or Position: MD/OWNER
Credential: MD
Phone: 210-233-9678