Individual
SANDEEP K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9918
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9918
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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