Rina Modha Gupta, MD
Internal Medicine, Rheumatology in Little Rock, AR. Individual provider (NPI-1).
NPI number1669968657
StatusActive
Last updated in NPPESAug 12, 2024
Details
- NPI
- 1669968657
- Entity type
- Individual (NPI-1)
- Name
- Rina Modha Gupta
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2018
- Certification date
- Aug 12, 2024
- Last updated
- Aug 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | T2024-195 | AR | Yes |
| 207RR0500X | Internal Medicine, Rheumatology | 292371 | MA |
Other names
- Rina Bharat Modha (Former Name)
Practice location
6 Shackleford DrLittle Rock, AR 72211-2858
Phone 501-500-5001 · Fax 501-500-5008
Mailing address
Po Box 497Augusta, AR 72006-0497
Phone 870-347-2534 · Fax 870-301-2092
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