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NPI Code Detail

MEDICARE: DR. BARNALI GUPTA M.D.

MEDICARE: DR. BARNALI 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
1207R00000XInternal Medicine Physician11746NV
2207RG0300XGeriatric Medicine (Internal Medicine) Physician11746NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111605464OTHERCAQH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881698421
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARNALI GUPTA M.D.
Provider Business Mailing Address
First Line : 10470 OLD PLACERVILLE RD
Second Line : SUITE 100
City : SACRAMENTO
State : CA
Zip : 95827-2539
Country : US
Telephone Number : 800-470-0071
Fax Number :
Provider Business Practice Location Address
First Line : 975 KIRMAN AVE
Second Line :
City : RENO
State : NV
Zip : 89502-0993
Country : US
Telephone Number : 775-786-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 01/11/2022

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