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Contact Information

MUKTA GUPTA, MD
31 HOSPITAL DR
MASSENA, NY13662
 Phone: 315-769-1099
 Fax: 315-769-1077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MUKTA GUPTA · (Female)

NPI Number 1689673873
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2005
Last updated 04/04/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 226022
  • NY Medicaid 01897332
Hospital affiliation(s)
  • CANTON-POTSDAM HOSPITAL - (Acute Care)
    50 LEROY STREET
    POTSDAM, NY 13676
  • MASSENA MEMORIAL HOSPITAL - (Acute Care)
    1 HOSPITAL DRIVE
    MASSENA, NY 13662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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