| Anirudh Gupta Md Phd Inc | |
|
147 N Brent St Ventura CA 93003-2809 | |
| (805) 948-5011 | |
| Not Available |
| Full Name | Anirudh Gupta Md Phd Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 147 N Brent St, Ventura, California |
| Authorized Official Name and Position | Anirudh Gupta (PRESIDENT) |
| Authorized Official Contact | 2147735947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anirudh Gupta Md Phd Inc 245 W Broadway Apt 743 Long Beach CA 90802-5081 Ph: (214) 773-5947 | Anirudh Gupta Md Phd Inc 147 N Brent St Ventura CA 93003-2809 Ph: (805) 948-5011 |
| NPI Number | 1700591443 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700591443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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