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Dr. Anand Gupta

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NPI Number Detailed Information

Provider Information:

Name: Dr. Anand Gupta
Gender: M
Provider License Number If Given: 33458

NPI Information:

NPI: 1841299138
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/19/2005

Last Update Date: 8/31/2018

Provider Business Mailing Address:

Address: 1003 N DUPONT SQ 0.375
Louisville, KY 40207
Phone Number: 5028937744
Fax Number: 5028937741

Provider Business Practice Location Address:

Address: 1003N DUPONT SQ 9A
Louisville, KY 40207
Phone Number: 5028937744
Fax Number: 5028937741

Provider Taxonomy:

Primary: 207RG0100X
Secondary (if any):
State: KY

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