Organization
SURESH GUPTA MD INC
Active
Other names
Pain Management Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SAPNA GUPTA (CHIEF LEGAL OFFICER)
(937) 620-0720
Entity
Organization
Contact information
Practice address
1010 WOODMAN DR, DAYTON, OH 45432
(937) 424-2215
(937) 252-1224
Mailing address
1010 WOODMAN DR, DAYTON, OH 45432-1400
(937) 424-2215
(937) 252-1224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QP3300X
Pain Clinic/Center
—
OH
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2059481
—
OH
01
—
7683860001
MEDICARE NSC
—
01
—
9276732
MEDICARE
OH
Enumeration date
07/01/2006
Last updated
12/26/2022
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