Gupta, Suraj Amar
Gupta, Suraj Amar is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gupta, Suraj Amar can be contacted via phone (847) 723-5020.Contact Information
Primary practice address
1775 Dempster St
Park Ridge IL 60068-1143
Phone: (847) 723-5020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 125.061269 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 000000000 | Illinois |
Profile Details
| NPI number | 1225393804 |
|---|---|
| LBN Legal business name | Gupta, Suraj Amar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2012 |
| Last updated | Dec 27th, 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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