Gupta, Krishanu Bappa

Gupta, Krishanu Bappa is an individual health care provider with primary practice located at 525 Broad St Suite 202, Cumberland RI 02864-6919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gupta, Krishanu Bappa can be contacted via phone (401) 727-4600.

Contact Information

Primary practice address
525 Broad St Suite 202 Cumberland RI 02864-6919
Phone: (401) 727-4600
Fax: (401) 727-4690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD11080 Rhode Island
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 210605 Massachusetts

Profile Details

NPI number 1003807397
LBN Legal business name Gupta, Krishanu Bappa
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Dec 6th, 2011 - about 15 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 1003807397 NPPES
Rhode Island MEDICAID 7010331
Rhode Island Other 21093-9
Rhode Island Other 16-00084

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