Individual
DR. SUMIT KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2325 W ARBORS DR, SUITE 201, CHARLOTTE, NC 28262-2663
(704) 295-3500
(704) 295-3506
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3506
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2008-01681
NC
207W00000X
Ophthalmology Physician
SG075835
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000291982
UNISON HEALTH PLAN OF SC
SC
01
—
01224936
AMERIGROUP
SC
05
—
104779114
—
MI
01
—
1502C
BCBSNC
NC
01
—
180G410170
BCBS GROUP
MI
01
—
20096148
SELECT HEALTH OF SC
SC
01
—
2687
EVOLUTIONS HEALTHCARE
NC
05
—
5910409
—
NC
01
—
7719573
AETNA
NC
01
—
773424
WELLCARE
SC
01
—
89695
CHCARES OF SC
SC
05
—
N01682
—
SC
01
—
P00667584
MEDICARE RAILROAD
SC
01
—
SG075835
MED LICENSE
MI
Enumeration date
08/03/2006
Last updated
05/03/2018
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