Provider Demographics
NPI:1679737191
Name:GUPTA, ABHA RANI (MD)
Entity type:Individual
Prefix:DR
First Name:ABHA
Middle Name:RANI
Last Name:GUPTA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:230 S FRONTAGE RD
Mailing Address - Street 2:PO BOX 207900
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1124
Mailing Address - Country:US
Mailing Address - Phone:203-785-6066
Mailing Address - Fax:203-785-7560
Practice Address - Street 1:230 S FRONTAGE RD
Practice Address - Street 2:CHILD STUDY CENTER
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1124
Practice Address - Country:US
Practice Address - Phone:203-785-6066
Practice Address - Fax:203-785-7560
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0435572080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics