Individual
PRASAD D GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 HOSPITAL AVE, SUITE 211, DU BOIS, PA 15801-1464
(814) 375-3722
(814) 375-3363
Mailing address
145 HOSPITAL AVE, SUITE 211, DU BOIS, PA 15801-1464
(814) 375-3722
(814) 375-3363
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD430021
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD430021
PA
Other
Enumeration date
08/11/2010
Last updated
03/24/2026
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