Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 238487 | MA |
N | 2084N0400X | Neurologist | MD036772 | MD |
Y | 2084N0400X | Neurologist | MD435843 | PA |
NPI | 1043411408 |
---|---|
Provider Name | Dr. Meenakshi Gupta |
First Address | Philadelphia, PA 19141-3018 |
Second Address | East Norriton, PA 19403-4243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 16/09/2013 |