Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 35-08-5561 | OH |
NPI | 1003856998 |
---|---|
Provider Name | Dr. Abha R. Gupta |
First Address | Dublin, OH 43017-7515 |
Second Address | Marysville, OH 43040-5512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 14/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2553820 | (05) | OH |
G58595 | (02) | OH |