Individual
RAJAT GUPTA
Active
Individual
RAJAT GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01056645A
IN
2085R0204X
Vascular & Interventional Radiology Physician
01056645A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342004
ANTHEM
IN
05
—
200499280
—
IN
01
—
P00147569
RAILROAD MEDICARE
IN
01
—
P00177625
RR MEDICARE PINS
IN
01
—
P00364623
RR MEDICARE PINS
IN
01
—
P00387639
RR MEDICARE PINS
IN
Enumeration date
09/09/2005
Last updated
12/29/2020
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