Mohinder K. Gupta, M.d., Inc.

NPI #1578578217 in Mansfield, Ohio

Provider Information

NPI Number: 1578578217
Entity Type: Organization
Organization Name: Mohinder K. Gupta, M.d., Inc.
Primary Specialty: Specialist
Enumeration Date: Jul 30, 2006
Last Updated: Nov 30, 2007

Practice Location

Address: 1456 PARK AVE W
Address 2: SUITE P
City: Mansfield
State: Ohio
ZIP Code: 44906-2700
Phone: (419) 289-6466

Authorized Official

Name: DR. MOHINDER K. GUPTA, M.D.
Title: PRESIDENT
Phone: (419) 289-6466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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