Individual
DR. VINEET KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N ELM ST, PEDIATRIC CRITICAL CARE SERVICES, GREENSBORO, NC 27401-1004
(419) 262-7428
Mailing address
7602 BRAELANDS DR, SUMMERFIELD, NC 27358-9363
(419) 262-7428
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.084463
OH
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
208000000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201090580
—
IN
05
—
2490719
—
OH
01
—
35084463
OHIO LICENSE #
OH
Enumeration date
05/27/2005
Last updated
01/31/2020
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