Gupta, Maneesh Kumar

Gupta, Maneesh Kumar is an individual health care provider with primary practice located at 2352 Meadows Blvd Ste 300 , Castle Rock CO 80109-8419. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Gupta, Maneesh Kumar can be contacted via phone (720) 455-3879.

Contact Information

Primary practice address
2352 Meadows Blvd Ste 300 Castle Rock CO 80109-8419
Phone: (720) 455-3879
Fax: (720) 455-3795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 57969 Colorado
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD205242 Louisiana

Profile Details

NPI number 1417271420
LBN Legal business name Gupta, Maneesh Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2010
Last updated Jul 21st, 2022 - about 4 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 1417271420 NPPES
Louisiana MEDICAID 2106643
Louisiana MEDICAID 06189557

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