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NPI Code Detail

MEDICARE: AKSHEY KUMAR GUPTA M.D.

MEDICARE: AKSHEY KUMAR GUPTA M.D.
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
1207RN0300XNephrology Physician017033LA

Other Identifiers

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

General Provider Information

NPI Number : 1245249887
Entity Type Code : Individual
Provider Name (Legal Business Name) : AKSHEY KUMAR GUPTA M.D.
Provider Business Mailing Address
First Line : 300 W SAINT MARY BLVD
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-4638
Country : US
Telephone Number : 337-233-6593
Fax Number : 337-235-1032
Provider Business Practice Location Address
First Line : 300 W SAINT MARY BLVD
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-4638
Country : US
Telephone Number : 337-233-6593
Fax Number : 337-235-1032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 05/30/2024

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