Individual
ANKUR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1222 S PATTERSON BLVD, STE 220, DAYTON, OH 45402-2684
(937) 223-5350
(937) 224-3112
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
#390200000X
NY
207R00000X
Internal Medicine Physician
35-098338
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35-098338
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062566
—
OH
Enumeration date
10/10/2007
Last updated
10/24/2025
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