# ASHISH K GUPTA MD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730333238
- **Authorized official:** DR. ASHISH K GUPTA MD (OWNER)
- **Authorized official phone:** (502) 897-6344

## Contact information

- **Practice address:** 4001 DUTCHMANS LN, STE 1H, LOUISVILLE, KY 40207-4731
- **Practice address phone:** (502) 897-1890
- **Mailing address:** 4001 DUTCHMANS LN, STE 1H, LOUISVILLE, KY 40207-4731
- **Mailing address phone:** (502) 897-1890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 35610 | KY | Yes |

## Other

- **Enumeration date:** 11/11/2008
- **Last updated:** 04/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000598746 | ANTHEM | KY |
| 01 | — | 50021989 | PASSPORT | KY |
| 05 | — | 7100061560 | — | KY |