MEDICARE: DR. SUNIL 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	207RG0100X	Gastroenterology Physician	2059761	NY
2	2085R0202X	Diagnostic Radiology Physician	2059761	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235158031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUNIL GUPTA M.D.

Provider Business Mailing Address
First Line	:	7 VALLEY VIEW RD
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-2510
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	667 STONELEIGH AVE
Second Line	:	BARNS OFFICE CENTER BLDG A201
City	:	CARMEL
State	:	NY
Zip	:	10512-2454
Country	:	US
Telephone Number	:	845-278-5223
Fax Number	:	845-278-4579

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	03/06/2025

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