Individual
SUBODH S GUPTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1614 N BALDWIN AVE, MARION, IN 46952-1437
(765) 664-1201
(765) 664-2866
Mailing address
1614 N BALDWIN AVE, MARION, IN 46952-1437
(765) 664-1201
(765) 664-2866
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01028454A
IN
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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