Organization Name: | MOHINDER K. GUPTA, M.D., INC. |
NPI Number: | 1306973136 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOHINDER K GUPTA (PRESIDENT) |
Mailing Address: | 21 Sugarbush Ct Ashland |
State: | OH US |
Postal Code: | 448059737 |
Phone Number: | 4192896466 |
Fax Number: | 4192814067 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35041004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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. |