MEDICARE: DANIEL GUP

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	174400000X	Specialist	MD045149E	PA

General Provider Information

NPI Number	:	1336148774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL GUP

Provider Business Mailing Address
First Line	:	200 DELAFIELD RD
Second Line	:	SUITE 3060
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 DELAFIELD RD
Second Line	:	SUITE 3060
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3205
Country	:	US
Telephone Number	:	412-781-6448
Fax Number	:

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	03/25/2021

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Directions to “ DANIEL GUP ” Practice Location

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