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Anjali Gupta
Addiction Medicine (Psychiatry & Neurology) Physician in Eustis, Florida
NPI 1760414122

Anjali Gupta is an Addiction Medicine (Psychiatry & Neurology) Physician based in Eustis, FL and is specialized in Addiction Medicine. Anjali Gupta practices in Eustis, FL. The NPI Number for Anjali Gupta is 1760414122 and holds a License No. 036129588 (Florida).

The current practice location address for Anjali Gupta is 1320 S Bay St, Eustis, FL and can be reached out via phone at 352-530-9557 and via fax at 352-602-7149.

Location: 1320 S Bay St, Eustis, FL, 32726-5551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760414122
Provider Name
Anjali Gupta
Credential
Provider Entity Type
Individual
Gender
Female
Address
1320 S Bay St, Eustis, FL, 32726-5551
Phone Number
352-530-9557
Fax Number
352-602-7149
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70640 01 IA WELLMARK BCBS
ME136879 01 FL MEDICAL LICENSE
0016869060001 05 PA
institution
Provider Business Practice Location Address Details
Address
1320 S Bay St
City
Eustis
State
Florida
Zip
32726-5551
Phone Number
352-530-9557
Fax Number
352-602-7149
person
Provider Business Mailing Address Details
Address
1320 S Bay St
City
Eustis
State
Florida
Zip
32726-5551
Phone Number
352-530-9557
Fax Number
352-602-7149
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
37462 (Iowa)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
036129588 (Illinois)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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