Organization
NG PROF MGMT SOLUTIONS, LLC
Active
Organization
NG PROF MGMT SOLUTIONS, LLC
Active
Other names
NITYANAND D GUPTA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NITYANAND D GUPTA MD (OWNER / PRESIDENT)
(270) 240-5696
Entity
Organization
Contact information
Practice address
2816 VEACH RD, STE 306, OWENSBORO, KY 42303-6295
(270) 240-5696
(270) 240-5697
Mailing address
2816 VEACH RD, STE 306, OWENSBORO, KY 42303-6295
(270) 240-5696
(270) 240-5697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39797
KY
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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