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NPI Code Detail

MEDICARE: DR. ANKITA GUPTA M.D., M.P.H

MEDICARE: DR. ANKITA GUPTA M.D., M.P.H
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
1207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician036.151717IL
2207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician49908KY
3207V00000XObstetrics & Gynecology Physician036.151717IL

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 : 1982043998
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANKITA GUPTA M.D., M.P.H
Provider Business Mailing Address
First Line : PO BOX 909
Second Line :
City : LOUISVILLE
State : KY
Zip : 40201-0909
Country : US
Telephone Number : 502-588-0325
Fax Number :
Provider Business Practice Location Address
First Line : 2525 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-2332
Country : US
Telephone Number : 312-567-5552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2013
Last Update Date : 05/11/2021

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