Individual
AMITABH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 E NORTH AVE STE 208, PITTSBURGH, PA 15212
(412) 359-6200
(412) 359-6617
Mailing address
320 E NORTH AVE STE 208, PITTSBURGH, PA 15212-4756
(412) 359-6200
(412) 359-6617
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD464504
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14308717
CAQH
—
Enumeration date
10/16/2017
Last updated
08/20/2018
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