Manish Raj Gupta, Md, Inc.

NPI #1699868505 in Oregon, Ohio

Provider Information

NPI Number: 1699868505
Entity Type: Organization
Organization Name: Manish Raj Gupta, Md, Inc.
Primary Specialty: Plastic Surgery
Enumeration Date: Oct 2, 2006
Last Updated: Jul 31, 2008

Practice Location

Address: 1050 ISAAC STREETS DR
Address 2: SUITE 136
City: Oregon
State: Ohio
ZIP Code: 43616-3291
Phone: (419) 696-5656

Authorized Official

Name: DR. MANISH RAJ GUPTA, MD
Title: PRESIDENT
Phone: (419) 696-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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