Gupta, Mohan L

Gupta, Mohan L is an individual health care provider with primary practice located at 8396 W Oakland Park Blvd , Sunrise FL 33351-7372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gupta, Mohan L can be contacted via phone (954) 742-0112.

Contact Information

Primary practice address
8396 W Oakland Park Blvd Sunrise FL 33351-7372
Phone: (954) 742-0112
Fax: (954) 746-8202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0039177 Florida

Profile Details

NPI number 1295791994
LBN Legal business name Gupta, Mohan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Dec 7th, 2020 - about 6 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 1295791994 NPPES
Florida Other 94170 BLUE CROSS
Florida MEDICAID 067560100 BLUE CROSS

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