Tanya Jain Gupta, MD, MS
Psychiatry & Neurology, Neurology in San Ramon, CA. Individual provider (NPI-1).
NPI number1871024554
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1871024554
- Entity type
- Individual (NPI-1)
- Name
- Tanya Jain Gupta
- Credential
- MD, MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2017
- Certification date
- Dec 6, 2021
- Last updated
- Dec 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | A157264 | CA | Yes |
Practice location
111 Deerwood Rd Ste 305San Ramon, CA 94583-1530
Phone 925-938-5252 · Fax 925-938-1343
Mailing address
111 Deerwood RdSte 305
San Ramon, CA 94583-1530
Phone 925-938-5252 · Fax 925-938-1343
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