Individual
DR. SHUBHAM GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ROSE ST, MS235, LEXINGTON, KY 40536-0001
(859) 218-5771
(859) 323-1944
Mailing address
11100 EUCLID AVE STE 4554, CLEVELAND, OH 44106-1716
(216) 285-5036
(859) 323-1944
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
709--L
MS
208800000X
Urology Physician
35.136851
OH
208800000X
Urology Physician
47046
KY
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
47046
KY
Other
Enumeration date
07/10/2008
Last updated
01/21/2025
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