Individual
DR. ANKITA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2332
(312) 567-5552
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036.151717
IL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
036.151717
IL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
49908
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100474500
—
KY
Enumeration date
06/24/2013
Last updated
05/11/2021
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