Individual
DR. AJAY K GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3113 SAEMANN AVE, SHEBOYGAN, WI 53081-1957
(920) 496-4700
Mailing address
3113 SAEMANN AVE, SHEBOYGAN, WI 53081-1957
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
71682-20
WI
207W00000X
Ophthalmology Physician
OH 35 084276
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358460
ANTHEM BCBS
OH
05
—
100095643
—
WI
05
—
2551662
—
OH
Enumeration date
09/02/2006
Last updated
04/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us