| Simhadri M Gupta Md Llc | |
|
2 Lincoln Hwy Suite 302 Edison NJ 08820-3961 | |
| (732) 421-8422 | |
| Not Available |
| Full Name | Simhadri M Gupta Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2 Lincoln Hwy, Edison, New Jersey |
| Authorized Official Name and Position | Simhadri M Gupta (OWNER) |
| Authorized Official Contact | 7324218422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simhadri M Gupta Md Llc Po Box 897 Piscataway NJ 08855-0897 Ph: (201) 512-9494 | Simhadri M Gupta Md Llc 2 Lincoln Hwy Suite 302 Edison NJ 08820-3961 Ph: (732) 421-8422 |
| NPI Number | 1982659223 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 08/27/2008 |
| Medicare PECOS PAC ID | 7315961299 |
|---|---|
| Medicare Enrollment ID | O20060118000617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982659223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA06573700 (New Jersey) | Primary |
| Provider Name | Simhadri M Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760483895 PECOS PAC ID: 5890691190 Enrollment ID: I20031209000167 |
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