MEDICARE: AKASH GUPTA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	35085237G	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245202324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKASH GUPTA MD

Provider Business Mailing Address
First Line	:	1810 MACKENZIE DR
Second Line	:	2ND FLOOR
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2967
Country	:	US
Telephone Number	:	614-273-2250
Fax Number	:	614-273-2255

Provider Business Practice Location Address
First Line	:	2526 LONDON GROVEPORT RD
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-9723
Country	:	US
Telephone Number	:	614-275-4300
Fax Number	:	614-275-4748

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	10/11/2023

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Directions to “ AKASH GUPTA MD” Practice Location

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