RAVI GUPTA, MD, PLLC
Osteopathic Medicine at Pecos Rd, Chandler, AZ

License number
Arizona 33007
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: RAVI GUPTA M.D.
Title: PRESIDENT
Phone: (480) 455-9616
Address
Address
2075 W Pecos Rd STE 2, Chandler, AZ 85224
National Provider ID: 1346487998
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAVI GUPTA MD, PLLC

2075 W Pecos Rd STE 2, Chandler, AZ 85224

Industry:
Medical Doctor's Office
Registration:
Jan 12, 2009
State ID:
P-1499033-0
Expiration:
Perpetual
Medical Doctors:
Ravi Gupta (Manager, Medical Doctor, President, Principal), 2075 W Pecos Rd STE 2, Chandler, AZ 85224 (Physical),Amita Gupta Medical Doctor, inactive
Agent:
Raymond Maza,2135 E Lynwood St, Mesa, AZ 85213 (Physical)

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