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NPI Code Detail

MEDICARE: MONA R GUPTA, DO INCORPORATED

MEDICARE: MONA R GUPTA, DO INCORPORATED
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
1283Q00000XPsychiatric Hospital

General Provider Information

NPI Number : 1225414352
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONA R GUPTA, DO INCORPORATED
Provider Business Mailing Address
First Line : 3801 BARRETT DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7224
Country : US
Telephone Number : 919-870-8409
Fax Number : 877-622-8953
Provider Business Practice Location Address
First Line : 8304 CREEDMOOR RD
Second Line :
City : RALEIGH
State : NC
Zip : 27613-1697
Country : US
Telephone Number : 919-870-8409
Fax Number :
Authorized Official
Title or Position : CEO / DO
Name : MONA RAJ GUPTA
Credential :
Telephone Number : 919-870-8409
Provider Enumeration Date : 07/30/2015
Last Update Date : 12/08/2025

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