| Akshay K. Gupta, M.d., Chartered | |
|
2235 E Gala St Meridian ID 83642-8026 | |
| (208) 887-3724 | |
| (208) 887-1682 |
| Full Name | Akshay K. Gupta, M.d., Chartered |
|---|---|
| Speciality | Internal Medicine |
| Location | 2235 E Gala St, Meridian, Idaho |
| Authorized Official Name and Position | Akshay K Gupta (PROVIDER) |
| Authorized Official Contact | 2083431702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Akshay K. Gupta, M.d., Chartered 425 W Bannock St Boise ID 83702-6035 Ph: (208) 343-1702 | Akshay K. Gupta, M.d., Chartered 2235 E Gala St Meridian ID 83642-8026 Ph: (208) 887-3724 |
| NPI Number | 1194198333 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 07/19/2019 |
| Medicare PECOS PAC ID | 7315248028 |
|---|---|
| Medicare Enrollment ID | O20151223000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194198333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | M12188 (Idaho) | Primary |
| Provider Name | Akshay K Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255542338 PECOS PAC ID: 4880745876 Enrollment ID: I20140102001395 |
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