Individual
HIMANSHU GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
23960
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009955015
—
AL
05
—
009955025
—
AL
05
—
009955035
—
AL
01
—
051522450
BLUE CROSS
AL
01
—
051522451
BLUE CROSS
AL
01
—
051522452
BLUE CROSS
AL
01
—
09339574
MISSISSPPI MEDICAID
MS
01
—
P00175461
RAILROAD MEDICARE
AL
Enumeration date
06/17/2006
Last updated
09/27/2010
Update your record
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