Individual
DR. PRASHANT GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 N MONTGOMERY AVE, KAPLAN, LA 70548-2007
(337) 643-8400
(337) 643-1544
Mailing address
801 N MONTGOMERY AVE, KAPLAN, LA 70548-2007
(337) 643-8400
(337) 643-1544
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
201782
LA
208D00000X
General Practice Physician
Primary
201782
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1500305
—
LA
Enumeration date
11/06/2007
Last updated
06/27/2016
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