| Doctor Name: | PAYAL PATEL GUPTA |
| NPI Number: | 1972774743 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 050804 |
| Business Practice Address: | 6740 3rd Ave Brooklyn, NY - 112205252 |
| Business Phone Number: | 7184915822 |
| Business Fax Number: | 7184917800 |
| Mailing Address: | 35 Hudson St, Apt 1103 JERSEY CITY |
| State: | NJ |
| Postal Code: | 07302 |
| Phone Number: | 9787292723 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2008 |
| NPI Last Update Date: | 06/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 050804 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |