Individual
DR. PRIYADARSHAN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-4550
(570) 552-4450
Mailing address
237 E 28TH ST APT 5B, NEW YORK, NY 10016-8593
(917) 579-2284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37739
SC
207R00000X
Internal Medicine Physician
4301502925
MI
207R00000X
Internal Medicine Physician
D0065591
MD
207R00000X
Internal Medicine Physician
MD036500
DC
208M00000X
Hospitalist Physician
237649
NY
208M00000X
Hospitalist Physician
4301502925
MI
208M00000X
Hospitalist Physician
Primary
MD471232
PA
Other
Enumeration date
04/03/2007
Last updated
09/02/2020
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