Individual
AMIT GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E 21ST ST, STE. 601, SIOUX FALLS, SD 57105-1033
(605) 322-7510
(605) 322-6475
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37093
IA
207R00000X
Internal Medicine Physician
4301083503
MI
207RP1001X
Pulmonary Disease Physician
Primary
7728
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00877418
RR MEDICARE
SD
Enumeration date
04/04/2007
Last updated
12/15/2021
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