Provider Demographics
NPI:1891809281
Name:GUPTA, ASHA K (MD)
Entity type:Individual
Prefix:
First Name:ASHA
Middle Name:K
Last Name:GUPTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1608 SE 3RD AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-2564
Mailing Address - Country:US
Mailing Address - Phone:954-320-3323
Mailing Address - Fax:954-753-6377
Practice Address - Street 1:9663 WESTVIEW DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-2513
Practice Address - Country:US
Practice Address - Phone:954-320-3323
Practice Address - Fax:954-753-6377
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME61061207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL377162800Medicaid
FL377162800Medicaid
FLE49157Medicare UPIN