Organization
PRAVIN GUPTA M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVIN GUPTA M.D. (PRESIDENT)
(219) 836-0031
Entity
Organization
Contact information
Practice address
900 RIDGE RD, STE L, MUNSTER, IN 46321-1726
(219) 836-0031
(219) 836-0051
Mailing address
900 RIDGE RD, STE L, MUNSTER, IN 46321-1726
(219) 836-0031
(219) 836-0051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01039588
IN
Other
Enumeration date
01/22/2008
Last updated
11/12/2009
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