Individual
DR. BHAVDEEP K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACC
Contact information
Practice address
1030 HILLPOINT BLVD N, SUFFOLK, VA 23434-8470
(757) 539-0444
(757) 539-4824
Mailing address
7007 HARBOUR VIEW BLVD, SUITE 108, SUFFOLK, VA 23435-3657
(757) 215-2784
(757) 215-2728
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101051058
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101051058
VA
207UN0901X
Nuclear Cardiology Physician
0101051058
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006011977
—
VA
Enumeration date
05/10/2006
Last updated
02/25/2015
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