Most Relevant Information
Provider Data
| NPI Number: | 1003807397 |
| Provider Name: | KRISHANU BAPPA GUPTA M.D., PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | MD11080 |
Most Important Dates
| Enumeration Date: | 11/04/2005 |
| Last Updated: | 12/06/2011 |
Provider Practice Location
525 BROAD ST
SUITE 202
CUMBERLAND
RI
028646919
Practice Location Phone/Fax
| Phone: | 4017274600 |
| Fax: | 4017274690 |
Provider Mailing Location
525 BROAD ST
SUITE 202
CUMBERLAND
RI
028646919
Provider Mailing Phone/Fax
| Phone: | 4017274600 |
| Fax: | 4017274690 |