Organization
PERSONAL HEALTH MANAGEMENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARJUN K GUPTA MD (OWNER)
(219) 464-8007
Entity
Organization
Contact information
Practice address
2031 ROOSEVELT RD, VALPARAISO, IN 46383-2746
(219) 464-8007
(219) 464-7651
Mailing address
2031 ROOSEVELT RD, VALPARAISO, IN 46383-2746
(219) 464-8007
(219) 464-7651
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090548
ANTHEM BC/BS
IN
01
—
020024431
RR MEDICARE
IN
05
—
200481530A
—
IN
Enumeration date
11/01/2006
Last updated
05/04/2010
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