Indu Gupta, MD | |
3751 Katella Ave, Los Alamitos, CA 90720-3113 | |
(562) 799-3132 | |
Not Available |
Full Name | Indu Gupta |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 3751 Katella Ave, Los Alamitos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952365124 | NPI | - | NPPES |
00A733560 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | A73356 (California) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A73356 (California) | Primary |
Entity Name | Azar Daneshbod Md Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215998349 PECOS PAC ID: 1456380799 Enrollment ID: O20050808000579 |
Mailing Address | Practice Location Address |
---|---|
Indu Gupta, MD 3751 Katella Ave, Los Alamitos, CA 90720-3113 Ph: (562) 598-1311 | Indu Gupta, MD 3751 Katella Ave, Los Alamitos, CA 90720-3113 Ph: (562) 799-3132 |
Azar Daneshbod, MD Pathology Medicare: Medicare Enrolled Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-799-3132 | |
Tao Yang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-799-3132 Fax: 562-799-3565 | |
Dr. Susan Sautao Lim, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-598-1311 |