Healthcare Provider Details

I. General information

NPI: 1629101613
Provider Name (Legal Business Name): YKG MEDICAL P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 HOOSICK ST STE A
TROY NY
12180-2393
US

IV. Provider business mailing address

5 SAND CREEK RD STE 200
ALBANY NY
12205-1400
US

V. Phone/Fax

Practice location:
  • Phone: 518-459-0711
  • Fax: 518-275-0646
Mailing address:
  • Phone: 518-459-0711
  • Fax: 518-275-0646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number144890
License Number StateNY

VIII. Authorized Official

Name: MR. YOGESH KUMAR GUPTA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 518-459-0711