Organization
GEKO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUKESH GUPTA D.O (GP)
(310) 717-2785
Entity
Organization
Contact information
Practice address
1552 ORMSBY STATION CT, LOUISVILLE, KY 40223-4019
(310) 717-2785
(877) 349-1770
Mailing address
22845 VENTURA BLVD # 367, WOODLAND HILLS, CA 91364-1202
(310) 717-2785
(877) 349-1770
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
32463
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64324635
—
KY
Enumeration date
04/19/2010
Last updated
04/19/2010
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