Gupta, Radhika

Gupta, Radhika is an individual health care provider with primary practice located at 946 East Semoran Blvd , Casselberry FL 32707-5633. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gupta, Radhika can be contacted via phone (407) 831-3141.

Contact Information

Primary practice address
946 East Semoran Blvd Casselberry FL 32707-5633
Fax: (407) 831-7873
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME85114 Florida

Profile Details

NPI number 1255317103
LBN Legal business name Gupta, Radhika
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Dec 14th, 2021 - about 4 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 1255317103 NPPES
Florida MEDICAID 270980500

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