Individual
DR. NICKHIL GUPTA
Active
Individual
DR. NICKHIL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB0902260
NJ
208100000X
Physical Medicine & Rehabilitation Physician
263627
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25MB09022600
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
263627
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
784955
GROUP MEDICARE NUMBER JERSEY REHAB PA 1629005012
NJ
Enumeration date
07/26/2007
Last updated
09/16/2013
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