Individual
DR. CHAKSHU GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-3488
(913) 588-6111
Mailing address
9705 LENEXA DR, LENEXA, KS 66215-1345
(816) 676-1165
(816) 676-1208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2004029637
MO
207ZB0001X
Blood Banking & Transfusion Medicine Physician
04-35950
KS
207ZB0001X
Blood Banking & Transfusion Medicine Physician
2004029637
MO
207ZP0101X
Anatomic Pathology Physician
Primary
04-35950
KS
207ZP0101X
Anatomic Pathology Physician
2004029637
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2004029637
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001797600
COMMUNITY HEALTH PLAN
—
05
—
200309840A
—
KS
05
—
209457803
—
MO
01
—
34925019
BLUE CROSS BLUE SHIELD KC
—
Enumeration date
06/24/2006
Last updated
06/19/2025
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