Individual
DR. NISHEETH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
929 RIDGE RD, SUITE 5, MUNSTER, IN 46321-1751
(219) 836-2000
Mailing address
200 E 89TH AVE, SUITE 2A, MERRILLVILLE, IN 46410-7319
(219) 736-2800
(219) 736-6680
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01042940
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085037
INDIANA CARPENTERS
IN
01
—
000000085037
UNICARE
—
05
—
100464750
—
IN
01
—
100464750A
MOLINA
—
01
—
254509
WELLCARE
—
01
—
830002223
TRAVELERS MEDICARE
—
01
—
9220968
ADVOCATE PHO
—
01
—
N254509
HARMONY HEALTH
—
Enumeration date
12/30/2005
Last updated
02/18/2013
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