Individual
SUMIT KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 N KEENE ST, COLUMBIA, MO 65201-8375
(573) 884-2522
(573) 884-9898
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
2012011807
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200002195
—
MO
Enumeration date
10/29/2012
Last updated
05/11/2023
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