Basic Information
Provider Information
NPI: 1851482053
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUPTA
FirstName: JUHI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1010 DELAFIELD ROAD
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 15215
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1010 DELAFIELD RD
Address2: VA PITTSBURGH HEALTHCARE - HJ HEINZ CAMPUS
City: PITTSBURGH
State: PA
PostalCode: 152151802
CountryCode: US
TelephoneNumber: 4128222222
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/27/2006
LastUpdateDate: 08/20/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/20/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X0101234617VAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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