Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A111493 | CA |
N | 207RX0202X | Medical Oncology | A111493 | CA |
NPI | 1144343005 |
---|---|
Provider Name | Sachin Gupta |
First Address | Fresno, CA 93729-5100 |
Second Address | Fresno, CA 93720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2007 |
Last Update Date | 26/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PO1345515 | RAILROAD MEDICARE (01) | CA |