Individual provider · Type 1 NPI

Supriya Gupta, MD

Student in an Organized Health Care Education/Training Program · Bangor, ME

NPI number 1144484296 Active

Practice location

302 Husson Avenue, Suite 1
Bangor, ME 04401

Call (207) 947-6141 Map

Fax (207) 947-6720

Mailing address

43 Whiting Hill, Suite 300
Brewer, ME 04412

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144484296

Supriya Gupta, MD's National Provider Identifier is 1144484296, issued on Jul 17, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bangor, ME. The record was last updated on Oct 28, 2016.