Physician Compare National (NPI:1225031552)

HEALTHCARE PROVIDER: RAJAT GUPTA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1225031552
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587697842
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100916001276
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUPTA
	Individual professional last name
Provider First Name	RAJAT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERVENTIONAL PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PAIN MANAGEMENT
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	4407 BEE CAVES RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 211
	Group Practice or individual's line 2 address
City	WEST LAKE HILLS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	787466410
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y