Gupta, Vijay

Gupta, Vijay is an individual health care provider with primary practice located at 8840 Calumet Ave Suite 103, Munster IN 46321-2545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gupta, Vijay can be contacted via phone (219) 836-7246.

Contact Information

Primary practice address
8840 Calumet Ave Suite 103 Munster IN 46321-2545
Phone: (219) 836-7246
Fax: (219) 836-6454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01031383A Indiana

Profile Details

NPI number 1740289313
LBN Legal business name Gupta, Vijay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Apr 2nd, 2019 - about 7 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 1740289313 NPPES
Indiana Other 01031383A LICENSE NUMBER
Indiana Other 050056006 LICENSE NUMBER
Indiana MEDICAID 100188860A LICENSE NUMBER
Indiana Other 000000091129 LICENSE NUMBER
Indiana Other 01031383A LICENSE NUMBER

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