RAKESH GUPTA MEDICAL P.C. NPI 1407944564

NPI Information

RAKESH GUPTA MEDICAL P.C. is a specialist in Valley Stream, NY. The provider is 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. RAKESH GUPTA MEDICAL P.C. NPI is 1407944564. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

834 GLENRIDGE AVE
VALLEY STREAM, NY
ZIP 11581-019
Phone: (718) 327-2555
Fax: (718) 327-9319

The provider's authorized official is Neville Gupta .
The authorized official title is Administrative Assistant and has the following contact phone number (718) 372-7434.

The CLIA number assigned to this NPI record is 33D0960850 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 3/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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