Provider Demographics
NPI:1043405244
Name:GUPTA, RISHI (MD)
Entity Type:Individual
Prefix:DR
First Name:RISHI
Middle Name:
Last Name:GUPTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF ROCHESTER
Mailing Address - Street 2:601 ELMWOOD AVE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642
Mailing Address - Country:US
Mailing Address - Phone:585-275-2647
Mailing Address - Fax:585-275-0707
Practice Address - Street 1:995 SENATOR KEATING BLVD
Practice Address - Street 2:BUILDING E. SUITE 340
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618
Practice Address - Country:US
Practice Address - Phone:585-275-2647
Practice Address - Fax:410-328-7305
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2957962080P0205X
OH35 1211222080P0206X
MDD822552080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology