Gupta, Anjali

Gupta, Anjali is an individual health care provider with primary practice located at 2460 Nw Stewart Pkwy Suite 102, Roseburg OR 97471-1516. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Gupta, Anjali can be contacted via phone (541) 677-2494.

Contact Information

Primary practice address
2460 Nw Stewart Pkwy Suite 102 Roseburg OR 97471-1516
Phone: (541) 677-2494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD61204532 Washington
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD61204532 Washington
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD167029 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 61-003355 New York

Profile Details

NPI number 1104074715
LBN Legal business name Gupta, Anjali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2008
Last updated Nov 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104074715 NPPES
New York MEDICAID 03126478

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