Individual
SACHIN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-2413
Mailing address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-4244
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
M4799
TX
207RC0000X
Cardiovascular Disease Physician
M4799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183787405
—
TX
01
—
183787406
MEDICAID - OTHER
TX
01
—
183787407
MEDICAID - TARRANT
TX
01
—
329768YL7A
MEDICARE - OTHER
TX
01
—
329768YNGS
MEDICARE - TARRANT
TX
Enumeration date
08/25/2006
Last updated
02/01/2022
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