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NPI Code Detail

MEDICARE: NALINI GUPTA MBBS,DCH

MEDICARE:   NALINI  GUPTA  MBBS,DCH
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
1208000000XPediatrics Physician050019GA
22080P0006XDevelopmental - Behavioral Pediatrics PhysicianMD60095203WA
3208000000XPediatrics PhysicianMD60095203WA

General Provider Information

NPI Number : 1194809111
Entity Type Code : Individual
Provider Name (Legal Business Name) : NALINI GUPTA MBBS,DCH
Provider Business Mailing Address
First Line : 412 E SPOKANE FALLS BLVD # 1495
Second Line :
City : SPOKANE
State : WA
Zip : 99202-2131
Country : US
Telephone Number : 509-990-5900
Fax Number : 509-606-2515
Provider Business Practice Location Address
First Line : 310 N RIVERPOINT BLVD
Second Line :
City : SPOKANE
State : WA
Zip : 99202-1610
Country : US
Telephone Number : 509-505-7481
Fax Number : 509-606-2515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 10/18/2023

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