Gupta, Surya N
Gupta, Surya N is an individual health care provider with primary practice located at 4803 Kentucky Street Camc Pediatric Neurology, South Charleston WV 25309-1547. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Gupta, Surya N can be contacted via phone (304) 766-7695.Contact Information
Primary practice address
4803 Kentucky Street Camc Pediatric Neurology
South Charleston WV 25309-1547
Phone: (304) 766-7695
Fax: (603) 663-3229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | MD057895L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 15026 | New Hampshire |
Profile Details
| NPI number | 1487643342 |
|---|---|
| LBN Legal business name | Gupta, Surya N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jul 18th, 2013 - about 13 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 | 1487643342 | NPPES |
| Pennsylvania | MEDICAID | 0016630190001 |
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