Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 141800 | NC |
NPI | 1023285988 |
---|---|
Provider Name | Preeya Kshettry Gupta |
First Address | Cary, NC 27513-2263 |
Second Address | Cary, NC 27513-2263 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 17/08/2021 |