Individual
SUKANT GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
(406) 731-8318
Mailing address
PO BOX 6010, BMG ADMIN, GREAT FALLS, MT 59406-6010
(406) 731-8888
(406) 731-8318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
056559
GA
207R00000X
Internal Medicine Physician
54448
TN
208M00000X
Hospitalist Physician
Primary
130143
MT
208M00000X
Hospitalist Physician
280848
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
EVOLUTIONS HEALTH CARE
FL
Enumeration date
02/22/2006
Last updated
04/05/2024
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