| Doctor Name: | DR. ADEETI GUPTA |
| NPI Number: | 1023271004 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 265081 |
| Business Practice Address: | 83-21 57th Ave Elmhurst, NY - 113732205 |
| Business Phone Number: | 7188981170 |
| Business Fax Number: | 7188983190 |
| Mailing Address: | 515 East 72nd St Apt 21h, NEW YORK |
| State: | NY |
| Postal Code: | 10021 |
| Phone Number: | 7188981170 |
| Fax Number: | 7188983190 |
| NPI Enumeration Date: | 07/09/2008 |
| NPI Last Update Date: | 04/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 265081 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |