Provider Demographics
NPI:1033747340
Name:GUPTA, AKSHITA (MD)
Entity Type:Individual
Prefix:DR
First Name:AKSHITA
Middle Name:
Last Name:GUPTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SHIVALIK MALVIYANAGAR
Mailing Address - Street 2:HOUSE NO. A-103
Mailing Address - City:NEW DELHI
Mailing Address - State:DELHI
Mailing Address - Zip Code:110017
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT STREET, GRAY-BIGELOW BUILDING 7
Practice Address - Street 2:ROOM 746
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-643-8949
Practice Address - Fax:617-643-6443
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2020-12-08
Deactivation Date:2020-12-08
Deactivation Code:
Reactivation Date:2020-12-08
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program