Individual provider · Type 1 NPI
Anjali Gupta
Addiction Medicine (Psychiatry & Neurology) Physician · Eustis, FL
NPI number
1760414122
Active
Practice location
1320 S Bay St
Eustis, FL 32726-5551
Fax (352) 602-7149
Other practice locations
- 481 N Sr 434, Altamonte Springs, FL 32714-2181 · (407) 765-1313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 036129588 (IL) |
| Radiation Oncology Physician | 2085R0001X | 37462 (IA) |
| Radiation Oncology Physician | 2085R0001X | MD063886L (PA) |
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | ME136879 (FL) |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
About NPI 1760414122
Anjali Gupta's National Provider Identifier is 1760414122, issued on Jul 7, 2006. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Eustis, FL. The record was last updated on Oct 23, 2019.