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General NPI Number Information
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NPI Number | 1194144311
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Entity Type | Individual
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Provider Name | VIKAS GUPTA MD
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Gender | Male
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 325 5TH AVE APT 22H
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City | NEW YORK
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State | NY
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Zip | 10016-5042
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Country | US
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Telephone | 646-355-8787
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Fax |
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Provider Business Mailing Address
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Address Line | 325 5TH AVE APT 22H
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City | NEW YORK
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State | NY
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Zip | 10016-5042
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Country | US
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Telephone | 646-212-1906
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0002X
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Taxonomy Name | Obesity Medicine (Psychiatry & Neurology) Physician
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License Number | 332872
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 332872
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 332872
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License Number State | NY
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