| | Physician Last Name: | Gupta |
| | Physician First Name: | Mahendra |
| | Physician Middle Name: | |
| | Address: | 6 Theis Lane
Blauvelt, New York 10913 |
| | License Number: | 125086 |
| | License Type: | MD |
| | Year of Birth: |
1937
|
| | Effective Date: | 09/11/2003 |
| | Action Description for DOH Webpage: | License revocation |
| | Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charge finding the physician guilty of having been convicted in Supreme Court of the State of New York,Bronx County of Grand Larceny.The physician's New York State medical license was previously summarily suspended on July 23, 2003. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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