Provider Demographics
NPI:1255964805
Name:GUPTA, RASHMI VARUN
Entity type:Individual
Prefix:
First Name:RASHMI
Middle Name:VARUN
Last Name:GUPTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18861 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5155
Mailing Address - Country:US
Mailing Address - Phone:832-342-9649
Mailing Address - Fax:832-342-9654
Practice Address - Street 1:18861 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-5155
Practice Address - Country:US
Practice Address - Phone:832-342-9649
Practice Address - Fax:832-342-9654
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX340501835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist