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NPI Code Detail

MEDICARE: GAURAV GUPTA M.D.

MEDICARE:   GAURAV  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
1207RI0011XInterventional Cardiology PhysicianL1598TX

General Provider Information

NPI Number : 1376745711
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAURAV GUPTA M.D.
Provider Business Mailing Address
First Line : 916 E HIGHWAY 67
Second Line :
City : DUNCANVILLE
State : TX
Zip : 75137-2706
Country : US
Telephone Number : 214-942-5511
Fax Number : 214-942-5512
Provider Business Practice Location Address
First Line : 916 E HIGHWAY 67
Second Line :
City : DUNCANVILLE
State : TX
Zip : 75137-2706
Country : US
Telephone Number : 214-942-5511
Fax Number : 214-942-5512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2007
Last Update Date : 12/22/2016

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Directions to “ GAURAV GUPTA M.D.” Practice Location

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