Dr. Raj K Gupta, MD
Pediatrics in West Carrollton, OH. Individual provider (NPI-1).
NPI number1124103403
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124103403
- Entity type
- Individual (NPI-1)
- Name
- Dr. Raj K Gupta
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 35100034 | OH | Yes |
Practice location
31 N Locust StWest Carrollton, OH 45449-1407
Phone 937-898-7750
Mailing address
117 South Main StreetReibold Building
Dayton, OH 45422
Phone 937-225-4954 · Fax 937-496-3071
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