Individual
MANEESH KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2352 MEADOWS BLVD STE 300, CASTLE ROCK, CO 80109-8419
(720) 455-3879
(720) 455-3795
Mailing address
2920 N CASCADE AVE, STE 300, COLORADO SPRINGS, CO 80907-6262
(719) 636-1201
(719) 955-0986
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
57969
CO
207RG0100X
Gastroenterology Physician
MD205242
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06189557
—
MS
05
—
2106643
—
LA
Enumeration date
03/19/2010
Last updated
07/21/2022
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