Individual
SANDEEP GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7250 CLEARVISTA DRIVE, SUITE 120, INDIANAPOLIS, IN 46256-4640
(317) 621-5676
(317) 621-5678
Mailing address
7250 CLEARVISTA DRIVE, SUITE 120, INDIANAPOLIS, IN 46256-4640
(317) 621-5676
(317) 621-5678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01068015A
IN
207R00000X
Internal Medicine Physician
MT190053
PA
Other
Enumeration date
06/22/2007
Last updated
08/18/2014
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