Doctor Name: | DR. RAKESH GUPTA |
NPI Number: | 1063417525 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 39813 |
Business Practice Address: | 1880 Quiet Cv Fayetteville, NC - 283043857 |
Business Phone Number: | 9103232477 |
Business Fax Number: | 9103235931 |
Mailing Address: | Po Box 87388, FAYETTEVILLE |
State: | NC |
Postal Code: | 283047388 |
Phone Number: | 9103232477 |
Fax Number: | 9103235931 |
NPI Enumeration Date: | 06/20/2005 |
NPI Last Update Date: | 03/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 39813 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |