Individual
DR. NAVYASH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 N LA CIENEGA BLVD STE 307, BEVERLY HILLS, CA 90211-2283
(310) 423-7040
Mailing address
9977 WOODS DR, SUITE 355, SKOKIE, IL 60077-1057
(847) 663-8050
(847) 663-8054
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
036095219
IL
2086S0129X
Vascular Surgery Physician
Primary
G145199
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095219
—
IL
01
—
11345469
CAQH
—
01
—
537830145
MEDICARE LAKE
IL
01
—
944351142
MEDICARE COOK
IL
Enumeration date
02/13/2006
Last updated
12/14/2023
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