Individual
DR. SHANKER LAL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 SAINT HELENA AVE, DUNDALK, MD 21222-4217
(410) 282-0646
(410) 859-8373
Mailing address
101 SAINT HELENA AVE, DUNDALK, MD 21222-4217
(410) 282-0646
(410) 859-8373
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0017003
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124077
AETNA
MD
01
—
20894
MAMSI
MD
01
—
37124
COVENTRY HEALTH CARE
MD
01
—
3925
CAREFIRST BC BS
MD
01
—
5211338440001
CIGNA
MD
01
—
R2970001
BLUE CHOICE
MD
Enumeration date
11/06/2006
Last updated
12/27/2007
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