Individual
URMIL R GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
340 ROUTE 202, SOMERS, NY 10589-3237
(914) 617-8402
(914) 617-8406
Mailing address
340 ROUTE 202, SOMERS, NY 10589-3237
(914) 617-8402
(914) 617-8406
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
1458381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027463
AETNA
—
01
—
0060341
GHI
—
05
—
00764672
—
NY
01
—
11000861
PALMETTO GBA
—
01
—
117024
MVP
—
01
—
42583
CIGNA
—
01
—
94A871
BCBS
—
01
—
CIM1458389
WORKMENS COMP
—
01
—
SP004
OXFORD
—
Enumeration date
09/26/2006
Last updated
07/28/2015
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