Gautam Gupta MD LLC

NPI #1396063046 in Rockford, Illinois

Provider Information

NPI Number
1396063046
Entity Type
Organization
Organization Name
Gautam Gupta MD LLC
Primary Specialty
Internal Medicine
Enumeration Date
May 5, 2010
Last Updated
May 5, 2010

Practice Location

Address
6090 STRATHMOOR DR
ZIP Code
61107-6628
Phone
(815) 229-1899

Authorized Official

Name
GAUTAM GUPTA, MD
Title
OWNER
Phone
(815) 229-1899

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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