Gupta, Avni

Gupta, Avni is an individual health care provider with primary practice located at 4922 Lanier Ave Apt A , Baltimore MD 21215-5344. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Gupta, Avni can be contacted via phone (443) 514-4429.

Contact Information

Primary practice address
4922 Lanier Ave Apt A Baltimore MD 21215-5344
Phone: (443) 514-4429
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036132136 Illinois
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036132136 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036132136 Illinois

Profile Details

NPI number 1215184247
LBN Legal business name Gupta, Avni
Credentials M.B.B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2008
Last updated May 4th, 2016 - about 10 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 1215184247 NPPES
Illinois Other P01354089 RAILROAD
Illinois MEDICAID 036132136 RAILROAD

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