Individual
ATUL GUPTA
Active
Individual
ATUL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD067240L
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD067240L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018138110006
—
PA
01
—
0181381102
AMERICHOICE
PA
01
—
0367630000
KEYSTONE HEALTHPLAN EAST
PA
01
—
3884840
AETNA
PA
01
—
597429
BLUE SHIELD PA
PA
Enumeration date
10/26/2006
Last updated
01/04/2016
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