Individual
MEERA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-4206
(859) 323-4661
Mailing address
740 S LIMESTONE K301, LEXINGTON, KY 40536-0284
(859) 323-4661
(859) 257-3644
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
50669
KY
208600000X
Surgery Physician
MT193557
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50669
KENTUCKY MEDICAL LICENSE
KY
Enumeration date
06/27/2008
Last updated
05/30/2019
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