Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A164618 | CA |
N | 207X00000X | Orthopaedic Surgeon | MT211069 | PA |
NPI | 1013367374 |
---|---|
Provider Name | Neel Akash Gupta |
First Address | Philadelphia, PA 19102-1121 |
Second Address | Redwood City, CA 94063-3132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2016 |
Last Update Date | 25/08/2021 |