Individual
MUKUND GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
585 MERRIMACK ST, LOWELL COMMUNITY HEALTH CENTER, LOWELL, MA 01854
(978) 746-7778
(978) 970-0359
Mailing address
585-597 MERRIMACK STREET, LOWELL COMMUNITY HEALTH CENTER, LOWELL, MA 01854
(978) 746-7778
(978) 970-0359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80239
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004089
NEIGHBORHOOD HEALTH PLAN
—
01
—
0406187
UNITED HEALTH CARE
—
01
—
042881348
UNICARE
—
05
—
1305557
—
MA
01
—
32169
FALLON
—
01
—
3485834
AETNA
—
01
—
692904
HARVARD PILGRIM HEALTHCAR
—
01
—
7371250
CIGNA
—
01
—
80239
TUFTS
—
01
—
979891
NETWORK HEALTH
—
01
—
J14999
BLUE CROSS BLUE SHIELD
—
01
—
J1499901
MEDICARE PTAN
MA
Enumeration date
02/22/2006
Last updated
08/21/2008
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