Provider Demographics
NPI:1194944496
Name:GUPTA, ROOPA (MD)
Entity type:Individual
Prefix:DR
First Name:ROOPA
Middle Name:
Last Name:GUPTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 PURDY ST STE 102
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-4060
Mailing Address - Country:US
Mailing Address - Phone:410-505-8948
Mailing Address - Fax:410-834-5526
Practice Address - Street 1:401 PURDY ST STE 102
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-4060
Practice Address - Country:US
Practice Address - Phone:410-505-8948
Practice Address - Fax:410-834-5526
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD73548207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology