Doctor Name: | RAJENDRA GUPTA |
NPI Number: | 1851514509 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 10257 State Route 3 Red Bud, IL - 622784418 |
Business Phone Number: | 6182826233 |
Business Fax Number: | 6182826949 |
Mailing Address: | 13217 Dunroyal Dr, SAINT LOUIS |
State: | MO |
Postal Code: | 631311919 |
Phone Number: | 3149654579 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0802X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Psychiatry |
Taxonomy Definition: | Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |