Individual
SANDEEP K GUPTA
Active
Individual
SANDEEP K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
01041280A
IN
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD.45832
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321535
ANTHEM-DEAC-350593390
—
05
—
0074657
—
OH
05
—
200107770
—
IN
01
—
350593390-042
TRICARE-DEACON-350593390
—
05
—
64879869
—
KY
Enumeration date
08/21/2006
Last updated
02/16/2023
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