Sandeep Gupta Md Llc | |
2450 Underhill Rd Ottawa Hills OH 43615-2332 | |
(419) 290-3672 | |
Not Available |
Full Name | Sandeep Gupta Md Llc |
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Speciality | Psychiatry & Neurology |
Location | 2450 Underhill Rd, Ottawa Hills, Ohio |
Authorized Official Name and Position | Sandeep Gupta (PSYCHIATRIST) |
Authorized Official Contact | 4192903672 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sandeep Gupta Md Llc 2450 Underhill Rd Ottawa Hills OH 43615-2332 Ph: (419) 290-3672 | Sandeep Gupta Md Llc 2450 Underhill Rd Ottawa Hills OH 43615-2332 Ph: (419) 290-3672 |
NPI Number | 1245650001 |
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Provider Enumeration Date | 04/21/2014 |
Last Update Date | 04/21/2014 |
Medicare PECOS PAC ID | 1951524016 |
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Medicare Enrollment ID | O20140519001998 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245650001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 35.122881 (Ohio) | Primary |
Provider Name | Sandeep Gupta |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164652418 PECOS PAC ID: 3577786623 Enrollment ID: I20140519001675 |
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