| Anushree Gupta Md Inc | |
|
6850 Brockton Ave Ste 108 Riverside CA 92506-3814 | |
| (951) 901-3986 | |
| Not Available |
| Full Name | Anushree Gupta Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6850 Brockton Ave Ste 108, Riverside, California |
| Authorized Official Name and Position | Anushree Gupta (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9519013986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anushree Gupta Md Inc 4150 Chicago Ave # 53038 Riverside CA 92507-5369 Ph: () - | Anushree Gupta Md Inc 6850 Brockton Ave Ste 108 Riverside CA 92506-3814 Ph: (951) 901-3986 |
| NPI Number | 1225874035 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 11/22/2024 |
| Medicare PECOS PAC ID | 8123553559 |
|---|---|
| Medicare Enrollment ID | O20241122000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225874035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anushree Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043574403 PECOS PAC ID: 5092022814 Enrollment ID: I20150910002985 |
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