Individual
DR. PRAMOD RAMKJANAK GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
56867
WI
2084A2900X
Neurocritical Care Physician
01091000A
IN
2084N0400X
Neurology Physician
036-164338
IL
2084N0400X
Neurology Physician
56867
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034068
—
WI
Enumeration date
04/02/2010
Last updated
12/20/2024
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