Shivani Gupta

NPI #1326481466 in Corvallis, Oregon

Provider Information

NPI Number: 1326481466
Entity Type: Individual
Name: Shivani Gupta
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Apr 8, 2013
Last Updated: Sep 7, 2023

Practice Location

Address: 3680 NW SAMARITAN DR
City: Corvallis
State: Oregon
ZIP Code: 97330-3737
Phone: (541) 754-1150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X
Student in an Organized Health Care Education/Training Program	390200000X

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