MEDICARE: SINDHU 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	207R00000X	Internal Medicine Physician	174556	NY

General Provider Information

NPI Number	:	1548256183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SINDHU GUPTA M.D.

Provider Business Mailing Address
First Line	:	1624 CROSBY AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-5201
Country	:	US
Telephone Number	:	718-822-2138
Fax Number	:	718-822-6515

Provider Business Practice Location Address
First Line	:	1624 CROSBY AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-5201
Country	:	US
Telephone Number	:	718-822-2138
Fax Number	:	718-822-6515

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	02/28/2023

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