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NPI Code Detail

MEDICARE: VEENA GUPTA MD

MEDICARE:   VEENA  GUPTA  MD
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
1207RC0000XCardiovascular Disease Physician163921NY

Other Identifiers

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

General Provider Information

NPI Number : 1245332352
Entity Type Code : Individual
Provider Name (Legal Business Name) : VEENA GUPTA MD
Provider Business Mailing Address
First Line : 16 FAWN LN
Second Line :
City : ARMONK
State : NY
Zip : 10504-1126
Country : US
Telephone Number : 914-273-0274
Fax Number : 914-273-2648
Provider Business Practice Location Address
First Line : 3130 GRAND CONCOURSE
Second Line : #1G
City : BRONX
State : NY
Zip : 10458-1213
Country : US
Telephone Number : 718-733-5299
Fax Number : 718-733-2870
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 07/08/2007

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Directions to “ VEENA GUPTA MD” Practice Location

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