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NPI Code Detail

MEDICARE: NAVNEET GUPTA MD

MEDICARE: NAVNEET 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
1208100000XPhysical Medicine & Rehabilitation Physician41890TN
2208100000XPhysical Medicine & Rehabilitation Physician27306SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962495531
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAVNEET GUPTA MD
Provider Business Mailing Address
First Line : 213 E BUTLER RD STE F1
Second Line :
City : MAULDIN
State : SC
Zip : 29662-2172
Country : US
Telephone Number : 864-284-0470
Fax Number : 864-284-0471
Provider Business Practice Location Address
First Line : 213 E BUTLER ROAD
Second Line : SUITE F1
City : MAULDIN
State : SC
Zip : 29662-2172
Country : US
Telephone Number : 864-284-0470
Fax Number : 864-284-0471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2005
Last Update Date : 05/27/2022

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