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Individual
ANAND KUMAR GUPTA
Active
Individual
ANAND KUMAR GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.124114
IL
208M00000X
Hospitalist Physician
Primary
036124114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036124114
—
IL
01
—
IL5686059
MEDICARE PTAN
IL
Enumeration date
06/03/2010
Last updated
03/22/2021
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