Individual
DR. CHAKRAPANI D GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
(317) 577-9503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01029265A
IN
207L00000X
Anesthesiology Physician
ME94092
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
01029265A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000497643
CSC ANTHEM
IN
01
—
0867335
CIGNA
FL
05
—
100065810
—
IN
01
—
264430G92
MEDICARE
IN
05
—
273811200
—
FL
01
—
29868
BCBS
FL
01
—
299642
AVMED
FL
01
—
P00350103
MEDICARE RR
FL
Enumeration date
02/28/2006
Last updated
05/03/2023
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