Individual
PUNEET K GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-6293
Mailing address
2600 SIXTH ST SW, DEPARTMENT OF CARDIOLOGY, CANTON, OH 44710
(330) 363-6293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256292
MA
207RC0000X
Cardiovascular Disease Physician
2017004299
MO
207RI0011X
Interventional Cardiology Physician
Primary
54828
KY
390200000X
Student in an Organized Health Care Education/Training Program
57.248725
OH
Other
Enumeration date
07/02/2013
Last updated
06/10/2021
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