Individual
ATUL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19550 E 39TH ST S, SUITE 400, INDEPENDENCE, MO 64057-2358
(816) 254-2552
(816) 833-0398
Mailing address
19550 E 39TH ST S, SUITE 400, INDEPENDENCE, MO 64057-2358
(816) 254-2552
(816) 833-0398
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
0432352
KS
207RI0200X
Infectious Disease Physician
Primary
1167130559
MO
207RI0200X
Infectious Disease Physician
60 243812
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790826063
—
MO
05
—
200572970A
—
KS
Enumeration date
02/09/2007
Last updated
01/27/2022
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