Organization
SHAMINDER M GUPTA, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMINDER MOHAN GUPTA M.D. (PRESIDENT)
(504) 908-7073
Entity
Organization
Contact information
Practice address
200 W ESPLANADE AVE, SUITE 106, KENNER, LA 70065-2489
(504) 712-7000
(504) 712-7040
Mailing address
200 W ESPLANADE AVE, SUITE 106, KENNER, LA 70065-2489
(985) 850-2388
(985) 873-2722
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
024216
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1489697
—
LA
01
—
1730183401
NPI INDIVIDUAL NUMBER
LA
Enumeration date
06/04/2006
Last updated
04/14/2010
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