SHIVANI GUPTA

CORVALLIS, OR
NPI1326481466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: OR  MD215020)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MI  4301116991)
207RG0100X Internal Medicine, Gastroenterology
(Licence: WI  19882)
207RG0100X Internal Medicine, Gastroenterology
(Licence: MI  4301116991)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-04-08
Last Update Date2023-09-07
Business Address
SHIVANI GUPTA
3680 NW SAMARITAN DR
CORVALLIS, OR 97330-3737
Phone number: 541-754-1150
Mailing Address
SHIVANI GUPTA
444 NW ELKS DR
CORVALLIS, OR 97330-3745
Phone number: 541-754-1150