Individual
MUKESH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 PLEASANT VALLEY RD STE 202, OWENSBORO, KY 42303-9774
(270) 417-7500
(270) 417-7509
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01048460A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
32463
KY
207RI0011X
Interventional Cardiology Physician
32463
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64324635
—
KY
Enumeration date
09/07/2005
Last updated
06/21/2024
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