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Dr. Mitalie Gupta, MD

Internal Medicine in San Diego, CA. Individual provider (NPI-1).

NPI number1164050472
StatusActive
Last updated in NPPESOct 20, 2025

Details

NPI
1164050472
Entity type
Individual (NPI-1)
Name
Dr. Mitalie Gupta
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 31, 2020
Certification date
Oct 20, 2025
Last updated
Oct 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineU8063TXYes
209800000X Legal MedicineMD2023-1530NM
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

7901 Frost St
San Diego, CA 92123-2701

Phone 858-939-3400 · Fax 858-939-3527

Mailing address

8695 Spectrum Center Blvd
San Diego, CA 92123-1489

Phone 858-798-9083 · Fax 760-705-1533

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