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NPI Code Detail

MEDICARE: NAMITA GUPTA MD

MEDICARE: NAMITA 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RE0101XEndocrinology, Diabetes & Metabolism Physician28550NE
3207RE0101XEndocrinology, Diabetes & Metabolism Physician2019024439MO

General Provider Information

NPI Number : 1639308786
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAMITA GUPTA MD
Provider Business Mailing Address
First Line : 4321 WASHINGTON ST STE 6100
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-5901
Country : US
Telephone Number : 816-932-3470
Fax Number : 816-932-3437
Provider Business Practice Location Address
First Line : 4321 WASHINGTON ST STE 6100
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-5901
Country : US
Telephone Number : 816-932-3470
Fax Number : 816-932-3437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2009
Last Update Date : 08/23/2019

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Directions to “ NAMITA GUPTA MD” Practice Location

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