Gupta, Shaminder Mohan

Gupta, Shaminder Mohan is an individual health care provider with primary practice located at 1990 Industrial Blvd , Houma LA 70363-7055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Gupta, Shaminder Mohan can be contacted via phone (985) 868-9300.

Contact Information

Primary practice address
1990 Industrial Blvd Houma LA 70363-7055
Phone: (985) 868-9300
Fax: (985) 851-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24216 Louisiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME147819 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 87357 Georgia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 27111 Mississippi
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 024216 Louisiana

Profile Details

NPI number 1730183401
LBN Legal business name Gupta, Shaminder Mohan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Nov 30th, 2021 - about 5 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 1730183401 NPPES
Louisiana MEDICAID 1489697
Louisiana MEDICAID 02223729

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