MEDICARE: DR. RAVI GUPTA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	20918	WI

General Provider Information

NPI Number	:	1164494324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAVI GUPTA M.D.

Provider Business Mailing Address
First Line	:	10625 W NORTH AVE
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-2315
Country	:	US
Telephone Number	:	414-475-5800
Fax Number	:	414-475-5825

Provider Business Practice Location Address
First Line	:	10625 W NORTH AVE
Second Line	:
City	:	WAUWATOSA
State	:	WI
Zip	:	53226-2315
Country	:	US
Telephone Number	:	414-475-5800
Fax Number	:	414-475-5825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1538846035 — MS. SHELBY RAE REINHARDT PA-C
Practice Location Address:

10625 W NORTH AVE STE 101B
WAUWATOSA, WI
53226-2315

Practice Phone: 414-877-5350
Practice Fax:

1801884358 — DR. KAMAL F NASSIF M.D.
Practice Location Address:

10625 W NORTH AVE STE 200
WAUWATOSA, WI
53226-2315

Practice Phone: 414-258-6880
Practice Fax: 414-258-5686

1881677284 — DR K F NASSIF & ASSOCIATES SC
Practice Location Address:

10625 W NORTH AVE STE 200
WAUWATOSA, WI
53226-2315

Practice Phone: 414-258-6880
Practice Fax: 414-258-5686

1376526319 — S. L. MOSS, M.D., S.C.
Practice Location Address:

10625 W NORTH AVE , SUITE 222
WAUWATOSA, WI
53226-2315

Practice Phone: 414-453-7173
Practice Fax: 414-453-4653

1174503841 — DR. SHERYL L MOSS M.D.
Practice Location Address:

10625 W NORTH AVE , SUITE 222
WAUWATOSA, WI
53226-2315

Practice Phone: 414-453-7173
Practice Fax: 414-453-4653

1760430698 — SHIRLEY Y GODIWALLA M.D,S.C
Practice Location Address:

10625 W NORTH AVE , SUITE 201
WAUWATOSA, WI
53226-2315

Practice Phone: 414-727-1117
Practice Fax: 414-727-1118

Directions to “ DR. RAVI GUPTA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.