Individual
KHYATI NITIN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637
(309) 624-9351
(309) 655-7732
Mailing address
530 NE GLEN OAK AVE, INTERNAL MEDICINE RESIDENCY, ATTN: MARTI SOKOLOWSKI OSF ST. FRANCIS MEDICAL CENTER, PEORIA, IL 61637
(309) 624-9351
(309) 655-7732
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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