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NPI Code Detail

MEDICARE: DR. RAKESH GUPTA M.D

MEDICARE: DR. RAKESH 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
1174400000XSpecialist148223NY
2207R00000XInternal Medicine Physician148223NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00049307OTHERNYRAILROAD MEDICARE
2WER101OTHERNYMEDICARE GROUP ID
4P00105544OTHERNYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255329876
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAKESH GUPTA M.D
Provider Business Mailing Address
First Line : 834 GLENRIDGE AVE
Second Line :
City : NORTH WOODMERE
State : NY
Zip : 11581-3019
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 130 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-6362
Country : US
Telephone Number : 718-372-7434
Fax Number : 718-266-2663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 01/21/2008

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