Sudhir K Gupta, MD FACC | |
3208 Medical Park Drive, Shawnee, OK 74804-1707 | |
(405) 273-0406 | |
(405) 273-1799 |
Full Name | Sudhir K Gupta |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 47 Years |
Location | 3208 Medical Park Drive, Shawnee, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437119286 | NPI | - | NPPES |
100748780A | Medicaid | OK | |
100257730A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 15887 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Anthony Shawnee Hospital, Inc. | 1052567328 | 31 |
Shawnee Medical Center Clinic, Inc. | 3870405434 | 76 |
Saints Medical Group, Llc | 7012914898 | 358 |
Entity Name | Shawnee Medical Center Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
Entity Name | Saints Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
Entity Name | St. Anthony Shawnee Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619260411 PECOS PAC ID: 1052567328 Enrollment ID: O20121015000218 |
Mailing Address | Practice Location Address |
---|---|
Sudhir K Gupta, MD FACC 3208 Medical Park Drive, Shawnee, OK 74804-1707 Ph: (405) 273-0406 | Sudhir K Gupta, MD FACC 3208 Medical Park Drive, Shawnee, OK 74804-1707 Ph: (405) 273-0406 |
Dr. Jeremy Patrick Holter, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Raphael C Francisco, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 | |
Dr. Michael W. Butcher, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Dr. Kelli Denise Koons, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Dr. Isma Nusrat Javed, M.D Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: Ssm Health Medical Group, 3315 Kethey, Shawnee, OK 74804 Phone: 404-273-5801 | |
Dr. Phillip A. Haddad, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Harold Stanley Wood, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 |