Organization
OWENSBORO MEDICAL INTERNISTS PSC
Active
Organization
OWENSBORO MEDICAL INTERNISTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITYANAND D GUPTA MD (OWNER)
(270) 240-5696
Entity
Organization
Contact information
Practice address
2816 VEACH RD STE 3-306, OWENSBORO, KY 42303-6295
(270) 240-5696
(270) 240-5697
Mailing address
2816 VEACH RD STE 306, OWENSBORO, KY 42303-6297
(270) 240-5696
(270) 240-5697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100112820
—
KY
Enumeration date
08/14/2009
Last updated
01/07/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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