Individual
VIVEK GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES-JEWISH PLAZA, ST. LOUIS, MO 63110
(314) 362-5000
Mailing address
660 SOUTH EUCLID AVENUE, NEUROSURGERY 8057, ST. LOUIS, MO 63110
(314) 362-5000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2019020218
MO
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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