# DR. AJAY K GUPTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316049265
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036158921 | IL | Yes |
| 207W00000X | Ophthalmology Physician | 71682-20 | WI | — |
| 207W00000X | Ophthalmology Physician | OH 35 084276 | OH | — |

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 10/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000358460 | ANTHEM BCBS | OH |
| 05 | — | 100095643 | — | WI |
| 05 | — | 2551662 | — | OH |