Individual
DR. ARJUN K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2031 ROOSEVELT RD, VALPARAISO, IN 46383-2746
(219) 736-8117
(219) 464-7651
Mailing address
2031 ROOSEVELT RD, VALPARAISO, IN 46383-2746
(219) 736-8117
(219) 464-7651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IN01030993B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090548
ANTHEM BC/BS
IN
05
—
100188670
—
IN
Enumeration date
03/23/2006
Last updated
07/22/2011
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