Individual
AVINASH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 536-0998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21478
SC
208VP0014X
Interventional Pain Medicine Physician
21478
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214789
—
SC
Enumeration date
12/22/2005
Last updated
03/03/2025
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