Physician Compare National (NPI:1336234814)

HEALTHCARE PROVIDER: SUNEET GUPTA O.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	1336234814
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244367761
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100414000836
	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	SUNEET
	Individual professional first name
Provider Middle Name	KUMAR
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3233 GRAND AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE M
	Group Practice or individual's line 2 address
City	CHINO HILLS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	917091489
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y