Individual
SUSHAN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-8296
Mailing address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.077875
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
83353-20
WI
207RP1001X
Pulmonary Disease Physician
Primary
83353-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/07/2021
Last updated
04/16/2026
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