Individual
KAMAL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8500
(913) 588-9600
(913) 588-9770
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8500
(913) 588-9600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
04-30554
KS
207RC0000X
Cardiovascular Disease Physician
2005001163
MO
207RI0011X
Interventional Cardiology Physician
Primary
04-30554
KS
207RI0011X
Interventional Cardiology Physician
2005001163
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104186
BCBS KS /OUTREACH CLINICS
KS
05
—
200270440A
—
KS
05
—
200270440E
—
KS
05
—
207369604
—
MO
01
—
34583011
BCBS KC
—
Enumeration date
08/10/2006
Last updated
12/11/2018
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