Individual provider · Type 1 NPI
Punita Gupta, MD
Specialist · Chicago, IL
NPI number
1073709457
Active
Practice location
840 S Wood St
Chicago, IL 60612-4325
Mailing address
21 Read Ave
Tuckahoe, NY 10707-3213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 125053691 (IL) |
| Specialist Primary | 174400000X | 25MA09328300 (NJ) |
Specialist: 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.
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About NPI 1073709457
Punita Gupta, MD's National Provider Identifier is 1073709457, issued on Sep 19, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Jul 24, 2013.