Individual
DR. CHAMPALAL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5300 W VILLARD AVE, MILWAUKEE, WI 53218-4345
(414) 438-6666
(414) 438-6667
Mailing address
5300 W VILLARD AVE, MILWAUKEE, WI 53218-4345
(414) 438-6666
(414) 438-6667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24166
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30414100
—
WI
Enumeration date
07/31/2006
Last updated
06/18/2009
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