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NPI Code Detail

MEDICARE: MUKUL GUPTA M.D.

MEDICARE:   MUKUL  GUPTA  M.D.
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
1207RH0003XHematology & Oncology PhysicianA73216CA
2207RX0202XMedical Oncology PhysicianA73216CA

General Provider Information

NPI Number : 1295843738
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUKUL GUPTA M.D.
Provider Business Mailing Address
First Line : PO BOX 276004
Second Line :
City : SACRAMENTO
State : CA
Zip : 95827-6004
Country : US
Telephone Number : 800-478-8837
Fax Number : 916-739-3623
Provider Business Practice Location Address
First Line : 540 W PUEBLO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4230
Country : US
Telephone Number : 805-879-0670
Fax Number : 805-879-5692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 01/13/2026

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