Organization
SANJIV GUPTA M.D. P.S.C.
Active
Organization
SANJIV GUPTA M.D. P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJIV GUPTA MD (PRESIDENT/OWNER)
(606) 474-2200
Entity
Organization
Contact information
Practice address
300 ST HWY 1947, SUITE A, GRAYSON, KY 41143-1947
(606) 474-2200
(606) 474-2205
Mailing address
PO BOX 1620, 300 ST HWY 1947, GRAYSON, KY 41143-5620
(606) 474-2200
(606) 474-2205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32686
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
32686
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016446
—
OH
05
—
64326861
—
KY
Enumeration date
08/07/2006
Last updated
04/28/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up