| NPI | 1346828969 |
|---|---|
| Former Legal Business Name | SHALINI GUPTA MD INC |
| Entity Type | Organization |
| Authorized Contact | SHALINI GUPTA President 859-544-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-06-09 |