Individual
SANJAY GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1481 W 10TH ST, MEDICINE 111, INDIANAPOLIS, IN 46202-2803
(317) 554-0181
(317) 554-0105
Mailing address
423 W VERMONT ST, APT 253, INDIANAPOLIS, IN 46202-3281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01054368A
IN
Other
Enumeration date
05/18/2006
Last updated
10/01/2007
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