Provider Demographics
NPI:1780086769
Name:GUPTA, SAPNA SONDHI (DO)
Entity type:Individual
Prefix:
First Name:SAPNA
Middle Name:SONDHI
Last Name:GUPTA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SAPNA
Other - Middle Name:
Other - Last Name:SONDHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 HICKMAN RD
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-5000
Mailing Address - Country:US
Mailing Address - Phone:515-987-3447
Mailing Address - Fax:
Practice Address - Street 1:30 HICKMAN RD
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-5000
Practice Address - Country:US
Practice Address - Phone:515-987-3447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADO-05579207Q00000X
MI5101021471207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine