Individual
DR. JITENDRAKUMAR S GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2730 PIERCE ST, SUITE 401, SIOUX CITY, IA 51104-3796
(712) 255-8827
(712) 255-4862
Mailing address
2730 PIERCE ST, SUITE 401, SIOUX CITY, IA 51104-3796
(712) 255-8827
(712) 255-4862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H83368
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
H83368
IA
207RP1001X
Pulmonary Disease Physician
H83368
IA
207RP1001X
Pulmonary Disease Physician
Primary
MD-34944
IA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
H83368
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00724608
RR MEDICARE
—
Enumeration date
10/27/2006
Last updated
07/27/2015
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