Organization
PERRY COUNTY CARDIOLOGY LLC
Active
Organization
PERRY COUNTY CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUKESH GUPTA MD (MEMBER)
(812) 772-2040
Entity
Organization
Contact information
Practice address
8735 STATE ROAD 37, SUITE B, TELL CITY, IN 47586-8349
(812) 772-2040
(812) 772-2042
Mailing address
8735 STATE ROAD 37, SUITE B, TELL CITY, IN 47586-8349
(812) 772-2040
(812) 772-2042
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01048460
IN
Other
Enumeration date
08/28/2016
Last updated
09/30/2016
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