Doctor Name: | DR. DEEPAK GUPTA |
NPI Number: | 1043445950 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A114745 |
Business Practice Address: | 300 Pasteur Drive Room Hc435 Stanford, CA - 943055207 |
Business Phone Number: | 6507235948 |
Business Fax Number: | 6507233045 |
Mailing Address: | 770 Welch Road, Suite 411b STANFORD |
State: | CA |
Postal Code: | 943055715 |
Phone Number: | 4126511929 |
Fax Number: | 6507256605 |
NPI Enumeration Date: | 05/20/2009 |
NPI Last Update Date: | 01/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | A114745 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |