Individual
KRISHAN L GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 778-4811
(254) 743-0135
Mailing address
4802 ASCOT PKWY, TEMPLE, TX 76502-7101
(254) 778-3338
(254) 778-3338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD25551
DC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
21545
NE
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD00010849
WA
Other
Enumeration date
08/13/2006
Last updated
09/11/2025
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