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1942402466

NPI Code Detail

MEDICARE: PUNEET KUMAR GUPTA MD

MEDICARE: PUNEET KUMAR 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	2084N0400X	Neurology Physician	N3703	TX
2	2084N0600X	Clinical Neurophysiology Physician	N3703	TX
3	390200000X	Student in an Organized Health Care Education/Training Program

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BP1-0022454	OTHER		INSITUTIONAL PERMIT
2	N3703	OTHER	TX	TEXAS MEDICAL BOARD

General Provider Information

NPI Number	:	1942402466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PUNEET KUMAR GUPTA MD

Provider Business Mailing Address
First Line	:	8390 LYNDON B JOHNSON FWY STE 1000
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-1288
Country	:	US
Telephone Number	:	214-648-6721
Fax Number	:

Provider Business Practice Location Address
First Line	:	8390 LYNDON B JOHNSON FWY STE 1000
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-1288
Country	:	US
Telephone Number	:	214-648-6721
Fax Number	:

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

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	12/17/2025

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Directions to “ PUNEET KUMAR GUPTA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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