Individual
DR. AMIT GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
(510) 450-5853
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A77329
CA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD2022-0063
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A773290
—
CA
Enumeration date
04/13/2006
Last updated
02/20/2026
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