Provider Demographics
NPI:1811966690
Name:GUPTA, RAKHI (MD)
Entity type:Individual
Prefix:
First Name:RAKHI
Middle Name:
Last Name:GUPTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1647
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1664
Mailing Address - Country:US
Mailing Address - Phone:410-243-6224
Mailing Address - Fax:410-243-7222
Practice Address - Street 1:200E 33RD ST 466
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-3322
Practice Address - Country:US
Practice Address - Phone:410-243-6224
Practice Address - Fax:410-243-7222
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-15
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0063566207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H03761Medicare UPIN