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NPI Code Detail

MEDICARE: NATASHA GUPTA

MEDICARE: NATASHA GUPTA
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
1390200000XStudent in an Organized Health Care Education/Training ProgramIN

General Provider Information

NPI Number : 1649927526
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA GUPTA
Provider Business Mailing Address
First Line : 2104 GREENBRIAR DR
Second Line :
City : SOUTHLAKE
State : TX
Zip : 76092-8355
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3200 COLD SPRING RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46222-1960
Country : US
Telephone Number : 317-955-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2022
Last Update Date : 05/11/2026

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Directions to “ NATASHA GUPTA ” Practice Location

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