Gupta, Suman
Gupta, Suman is an individual health care provider with primary practice located at 850 W. Plymouth Ave , Deland FL 32720. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gupta, Suman can be contacted via phone (386) 736-6110.Contact Information
Primary practice address
850 W. Plymouth Ave
Deland FL 32720
Phone: (386) 736-6110
Fax: (386) 736-7998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME106178 | Florida |
Profile Details
| NPI number | 1457681041 |
|---|---|
| LBN Legal business name | Gupta, Suman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2010 |
| Last updated | Apr 23rd, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457681041 | NPPES |
| Florida | MEDICAID | 253359600 |
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