Provider Demographics
NPI:1053630699
Name:GUPTA, ASHITA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ASHITA
Middle Name:
Last Name:GUPTA
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 W 29TH ST STE 12E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5303
Mailing Address - Country:US
Mailing Address - Phone:646-759-9388
Mailing Address - Fax:
Practice Address - Street 1:146 W 29TH ST STE 12E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5303
Practice Address - Country:US
Practice Address - Phone:646-759-9388
Practice Address - Fax:646-843-7697
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-21
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264900207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism