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General NPI Number Information
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NPI Number | 1952327306
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Entity Type | Organization
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Legal Business Name | VARUN GUPTA MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 39000 BOB HOPE DR UIHLEIN BUILDING SUITE 203
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3221
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Country | US
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Telephone | 760-346-7855
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-0247
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Country | US
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Telephone | 760-346-7855
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. VARUN GUPTA
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Credential | MD
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Telephone | 760-346-7855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A66812
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License Number State | CA
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