NPI 1578578217

Mohinder K. Gupta, M.D., INC.

Organisation Specialist Mansfield, OH

Practice location

Address: 1456 Park Ave W Suite P, Mansfield, OH 44906-2700
Phone: (419) 289-6466
Fax: (419) 281-4067
Mailing address: 21 Sugarbush CT, Ashland, OH 44805-9737

Authorised official

Name: Mohinder K. Gupta
Title: President
Phone: (419) 289-6466

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 35041004 (OH)

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Registry record

NPI: 1578578217
Entity type: Organization
NPI issued: 30 Jul 2006
Record last updated: 30 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.