MEDICARE: MRS. SEEMA 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
1	207R00000X	Internal Medicine Physician	U2501	TX

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	:	1497861470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SEEMA GUPTA M.D.

Provider Business Mailing Address
First Line	:	6210 E HWY 290
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1142
Country	:	US
Telephone Number	:	512-483-9596
Fax Number	:	512-406-6216

Provider Business Practice Location Address
First Line	:	15801 W HWY 71 STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78738-2703
Country	:	US
Telephone Number	:	512-676-2500
Fax Number	:	512-406-7377

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	02/14/2024

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