Provider Demographics
NPI:1447288568
Name:ARIKA GUPTA M.D. INC
Entity type:Organization
Organization Name:ARIKA GUPTA M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-841-5530
Mailing Address - Street 1:2572 FERN MEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-8447
Mailing Address - Country:US
Mailing Address - Phone:775-315-5152
Mailing Address - Fax:702-953-0707
Practice Address - Street 1:415 W SOPHIA ST
Practice Address - Street 2:SUITE100
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-8804
Practice Address - Country:US
Practice Address - Phone:775-841-5530
Practice Address - Fax:775-841-5125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11407207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVH72526Medicare UPIN