Individual
DR. NITYANAND GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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) 240-5694
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39797
KY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
39797
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64064231
—
KY
Enumeration date
01/05/2006
Last updated
01/07/2014
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