Gupta, Prateek Kumar

Gupta, Prateek Kumar is an individual health care provider with primary practice located at 1325 Eastmoreland Ave Suite 310, Memphis TN 38104-3519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Gupta, Prateek Kumar can be contacted via phone (901) 272-6010.

Contact Information

Primary practice address
1325 Eastmoreland Ave Suite 310 Memphis TN 38104-3519
Phone: (901) 272-6010
Fax: (901) 266-6468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 51677 Tennessee

Profile Details

NPI number 1952555666
LBN Legal business name Gupta, Prateek Kumar
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2008
Last updated Mar 13th, 2017 - about 9 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 1952555666 NPPES
Mississippi MEDICAID 01303031
Mississippi MEDICAID 208461001
Mississippi MEDICAID Q009116
Mississippi Other 6026580

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