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NPI Code Detail

MEDICARE: SMITI GUPTA

MEDICARE: SMITI 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 Program

General Provider Information

NPI Number : 1851088967
Entity Type Code : Individual
Provider Name (Legal Business Name) : SMITI GUPTA
Provider Business Mailing Address
First Line : 725 UNIVERSITY BLVD
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45324-2640
Country : US
Telephone Number : 937-775-7792
Fax Number : 937-641-2563
Provider Business Practice Location Address
First Line : 2555 UNIVERSITY DR
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-6255
Country : US
Telephone Number : 937-775-7792
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2023
Last Update Date : 03/19/2026

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Directions to “ SMITI GUPTA ” Practice Location

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