Individual
SUSHAN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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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