Provider Demographics
NPI:1255028528
Name:GUPTA, AASHIMA (MD)
Entity type:Individual
Prefix:
First Name:AASHIMA
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 1:801 OSTRUM STREET
Mailing Address - Street 2:DEPARTMENT OF MEDICINE-EW4
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015
Mailing Address - Country:US
Mailing Address - Phone:484-526-4644
Mailing Address - Fax:484-526-4920
Practice Address - Street 1:801 OSTRUM STREET
Practice Address - Street 2:DEPARTMENT OF MEDICINE-EW4
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015
Practice Address - Country:US
Practice Address - Phone:484-526-4644
Practice Address - Fax:484-526-4920
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-18
Last Update Date:2023-12-19
Deactivation Date:2023-11-22
Deactivation Code:
Reactivation Date:2023-12-19
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMT229281390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program