Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 245090 | NY |
Y | 207W00000X | Ophthalmologist | D70515 | MD |
NPI | 1003007816 |
---|---|
Provider Name | Arusha Gupta |
First Address | Silver Spring, MD 20910-3806 |
Second Address | Silver Spring, MD 20910-3806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 29/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
032987800 | (05) | MD |