Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A138407 | CA |
N | 111NI0900X | Internist | A138407 | CA |
Y | 207RX0202X | Medical Oncology | A138407 | CA |
NPI | 1154741031 |
---|---|
Provider Name | Dr. Tanya Gupta |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2014 |
Last Update Date | 14/05/2021 |