Mrs. Neena R Gupta
Pediatrician Pediatric Nephrologist
55 Lake Ave N Department Of Pediatrics
Worcester
, Massachusetts 01655-0002
Mrs. Neena R Gupta
Pediatrician Pediatric Nephrologist
55 Lake Ave N Department Of Pediatrics
Worcester
, Massachusetts 01655-0002
(508) 334-1977
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Mrs. Neena R Gupta
- Po Box 415348
- Boston, MA
- Zip : 02241-0001
- Fax : (508) 334-1977
- Phone : (800) 225-8885
Second Address
- Mrs. Neena R Gupta
- 55 Lake Ave N Department Of Pediatrics
- Worcester, MA
- Zip : 01655-0002
- Fax : (774) 443-7399
- Phone : (774) 442-5695
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | MD11111 | RI |
| Y | 2080P0210X | Pediatric Nephrologist | 242003 | MA |
| N | 2080P0210X | Pediatric Nephrologist | MD11111 | RI |
National Provider Identifier
| NPI | 1972615052 |
|---|---|
| Provider Name | Mrs. Neena R Gupta |
| First Address | Boston, MA 02241-0001 |
| Second Address | Worcester, MA 01655-0002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 28/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001370701 | MEDICARE (01) | MA |
| 00137071 | MEDICARE (01) | MA |
| 110083785A | (05) | MA |
| 1203613 | UNITED HEALTH (01) | RI |
| 241728 | BLUE CROSS (01) | RI |
| 28463 | NEIGHBORHOOD HEALTH PLAN (01) | RI |
| 410398 | BLUE CHIP (01) | RI |
| N655193 | (05) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.