Gautam Gupta
NPI #1023177128 in Rockford, Illinois
Provider Information
- NPI Number
- 1023177128
- Entity Type
- Organization
- Organization Name
- Gautam Gupta
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Nov 7, 2007
Practice Location
Authorized Official
- Name
- GAUTAM GUPTA, M.D.
- Title
- SOLE PROPRIETOR
- Phone
- (815) 229-1899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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