Gupta, Jyoti Rani
Gupta, Jyoti Rani is an individual health care provider with primary practice located at 1925 Mizell Ave Ste 302 , Winter Park FL 32792-4155. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Gupta, Jyoti Rani can be contacted via phone (407) 629-4305.Contact Information
Primary practice address
1925 Mizell Ave Ste 302
Winter Park FL 32792-4155
Phone: (407) 629-4305
Fax: (407) 740-5089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME109796 | Florida |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME 109796 | Florida |
Profile Details
| NPI number | 1457671182 |
|---|---|
| LBN Legal business name | Gupta, Jyoti Rani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2010 |
| Last updated | Nov 3rd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457671182 | NPPES |
| Georgia | MEDICAID | 003148905A | |
| Georgia | MEDICAID | 003923300 |
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