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Physician Compare National (NPI:1558308551)

HEALTHCARE PROVIDER: DEVANSHI 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 1558308551
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1254300981
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090224000145
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 DEVANSHI
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1992
Individual professional's medical school graduation year
Primary Specialty NEUROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 400 N ALLEN DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 105
Group Practice or individual's line 2 address
City ALLEN
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 750132581
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 670082
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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