Sudershan Gupta, MD | |
1990 Holton Ave E, Big Stone Gap, VA 24219-3350 | |
(276) 523-8600 | |
Not Available |
Full Name | Sudershan Gupta |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1990 Holton Ave E, Big Stone Gap, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184656837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0116017508 (Virginia) | Primary |
Entity Name | Riverside Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Entity Name | Emergency Coverage Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
Mailing Address | Practice Location Address |
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Sudershan Gupta, MD 2329 Louita Dr, Kingsport, TN 37660-1166 Ph: () - | Sudershan Gupta, MD 1990 Holton Ave E, Big Stone Gap, VA 24219-3350 Ph: (276) 523-8600 |
Dr. Arthur H Toups, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-3111 | |
Donald Elmer Dingus, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 E 19th St N, Big Stone Gap, VA 24219 Phone: 276-524-4920 Fax: 276-524-1401 | |
Dr. John H Brannum, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-3111 | |
Dana Barlow, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-3111 | |
Mary E. Duncan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-8612 |