Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | D0043346 | MD |
NPI | 1003857269 |
---|---|
Provider Name | Rita Gupta |
First Address | Clinton, MD 20735-4220 |
Second Address | Clinton, MD 20735-4220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 14/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0004506157 | AETNA MNG (01) | MD |
02810002 | BC/BS OF DC (01) | DC |
038009500 | (05) | DC |
08245 | AMERICAID (01) | MD |
234814 | TRIGON (01) | MD |
3000178 | UNITED HEALTHCARE (01) | |
368810100 | (05) | MD |
493215 | HEALTHLINK (01) | MD |
538505 | ALLIANCE (01) | MD |
538505 | MAMSI (01) | MD |
54319802 | BC/BS MARYLAND (01) | MD |
7579808003 | CIGNA (01) | MD |
915918 | AETNA HMO (01) | MD |
B6480004 | BC/BS OF DC (01) | DC |
G24218 | (02) | MD |