Individual
VINOD K GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
67 PROSPECT AVE, SUITE 210, HUDSON, NY 12534-2907
(518) 828-2565
Mailing address
67 PROSPECT AVE, SUITE 210, HUDSON, NY 12534-2907
(518) 828-2565
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
1-194179
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401540001
BS OF NENY
—
01
—
0061801
GHI PPO
—
05
—
01593360
—
NY
01
—
040426007287
FIDELIS
—
01
—
10000824
CDPHP
—
01
—
1349211
UNITED HEALTHCARE
—
01
—
195191
WELLCARE
—
01
—
277682
MVP
—
01
—
30652
GHI HMO
—
01
—
805872
BC/BS
—
01
—
P920287
OXFORD
—
Enumeration date
05/26/2006
Last updated
05/02/2008
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