Individual
BHANU PRAKASH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 583-6063
(206) 341-1726
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 583-6063
(206) 341-1726
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
04-39156
KS
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
2013002794
MO
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
MD61393136
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD61393136
WA
207RC0000X
Cardiovascular Disease Physician
ME123490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038A00020
MEDICARE
MO
01
—
038B00046
MEDICARE
KS
01
—
038E00030
MEDICARE
MO
05
—
1437314903
—
MO
05
—
201136290B
—
KS
05
—
2235940
—
WA
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00733637
MEDICARE RAILROAD
MN
Enumeration date
07/24/2008
Last updated
06/11/2025
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