PRASHANT GUPTA

BURIEN, WA
NPI1043552862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  60660929)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IL  036138919)
Enumeration Date2013-03-19
Last Update Date2019-07-10
Business Address
Dr. PRASHANT GUPTA M.D.
16045 1ST AVE S # F1
BURIEN, WA 98148
Phone number: 206-965-4180
Mailing Address
Dr. PRASHANT GUPTA M.D.
16045 1ST AVE S # F1
BURIEN, WA 98148-1401
Phone number: 206-965-4180