Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 14358 | NV |
N | 207VG0400X | Gynecologist | 14358 | NV |
NPI | 1306020565 |
---|---|
Provider Name | Dr. Charu Dhingra Gupta |
First Address | Las Vegas, NV 89135-7864 |
Second Address | Las Vegas, NV 89135-7864 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2007 |
Last Update Date | 06/05/2019 |