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Individual

SANJAYA KUMAR GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4330 WORNALL RD, SUITE 2000, KANSAS CITY, MO 64111
(816) 931-1883
Mailing address
901 E 104TH ST, MAILSTOP 400N, KANSAS CITY, MO 64131-4517
(816) 502-8782

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011009245
MO
207RC0000X
Cardiovascular Disease Physician
2011009245
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2011009245
MO

Other

Enumeration date
03/26/2007
Last updated
11/09/2017
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