Gupta, Ashutosh
Gupta, Ashutosh is an individual health care provider with primary practice located at 7531 S Stony Island Ave Suite 158 & 160, Chicago IL 60649-3954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gupta, Ashutosh can be contacted via phone (773) 947-2289.Contact Information
Primary practice address
7531 S Stony Island Ave Suite 158 & 160
Chicago IL 60649-3954
Phone: (773) 947-2289
Fax: (773) 493-1430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036052219 | Illinois |
Profile Details
| NPI number | 1528065646 |
|---|---|
| LBN Legal business name | Gupta, Ashutosh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jul 26th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528065646 | NPPES |
| Illinois | MEDICAID | 036052219 |
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