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Individual
DR. AJAY K GUPTA
Active
Individual
DR. AJAY K GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036158921
IL
207W00000X
Ophthalmology Physician
71682-20
WI
207W00000X
Ophthalmology Physician
OH 35 084276
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358460
ANTHEM BCBS
OH
05
—
100095643
—
WI
05
—
2551662
—
OH
Enumeration date
09/02/2006
Last updated
10/05/2026
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