Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | MD429272 | PA |
NPI | 1013165935 |
---|---|
Provider Name | Dr. Ruchi Gupta |
First Address | Allentown, PA 18104-5034 |
Second Address | Allentown, PA 18104-5034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2008 |
Last Update Date | 02/07/2010 |