Individual
DR. ASHISH KUMAR GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
483 N SEMORAN BLVD STE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0246
Mailing address
11616 LAKE UNDERHILL RD, STE 215, ORLANDO, FL 32825-4465
(407) 482-7788
(407) 482-8698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME102636
FL
207R00000X
Internal Medicine Physician
TRN10082
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME102636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009487500
—
FL
01
—
ME102636
MEDICAL LICENSE
FL
Enumeration date
10/12/2006
Last updated
12/16/2020
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