Gupta, Ajay K

Gupta, Ajay K is an sole proprietor health care provider with primary practice located at 3113 Saemann Ave , Sheboygan WI 53081-1957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gupta, Ajay K can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
3113 Saemann Ave Sheboygan WI 53081-1957
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 71682-20 Wisconsin
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OH 35 084276 Ohio

Profile Details

NPI number 1316049265
LBN Legal business name Gupta, Ajay K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated Apr 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316049265 NPPES
Ohio MEDICAID 2551662
Ohio MEDICAID 100095643
Ohio Other 000000358460

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