Gupta, Mukesh Bhavdutt

Gupta, Mukesh Bhavdutt is an individual health care provider with primary practice located at 4049 Almond St Ste 102 , Riverside CA 92501-3570. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gupta, Mukesh Bhavdutt can be contacted via phone (951) 781-3945.

Contact Information

Primary practice address
4049 Almond St Ste 102 Riverside CA 92501-3570
Fax: (951) 781-3661
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A70036 California

Profile Details

NPI number 1255369542
LBN Legal business name Gupta, Mukesh Bhavdutt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated May 5th, 2014 - about 12 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 1255369542 NPPES
California MEDICAID 00A700360

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