Provider Demographics
NPI:1407237845
Name:GUPTA, APAR (MD)
Entity Type:Individual
Prefix:DR
First Name:APAR
Middle Name:
Last Name:GUPTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10460 N 92ND ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4547
Mailing Address - Country:US
Mailing Address - Phone:480-278-8300
Mailing Address - Fax:
Practice Address - Street 1:10460 N 92ND ST STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4547
Practice Address - Country:US
Practice Address - Phone:480-278-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2022-08-02
Deactivation Date:2018-04-01
Deactivation Code:
Reactivation Date:2018-07-05
Provider Licenses
StateLicense IDTaxonomies
NY3046882085R0001X
NJ25MA102505002085R0001X
AZ669542085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology