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NPI Code Detail

MEDICARE: MANAN GUPTA MD

MEDICARE: MANAN 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
12084P0800XPsychiatry PhysicianV3603TX

General Provider Information

NPI Number : 1851705792
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANAN GUPTA MD
Provider Business Mailing Address
First Line : 903 W MARTIN ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-0903
Country : US
Telephone Number : 210-335-6260
Fax Number :
Provider Business Practice Location Address
First Line : 200 N COMAL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-3505
Country : US
Telephone Number : 210-335-6260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2014
Last Update Date : 09/24/2025

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