| Dr Kaushal K Gupta Md Pa | |
|
11206 Airline Dr Houston TX 77037-1116 | |
| (281) 447-6334 | |
| (281) 447-8235 |
| Full Name | Dr Kaushal K Gupta Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 11206 Airline Dr, Houston, Texas |
| Authorized Official Name and Position | Kaushal K Gupta (OWNER) |
| Authorized Official Contact | 2814476334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kaushal K Gupta Md Pa 11206 Airline Dr Houston TX 77037-1116 Ph: (281) 447-6334 | Dr Kaushal K Gupta Md Pa 11206 Airline Dr Houston TX 77037-1116 Ph: (281) 447-6334 |
| NPI Number | 1386775765 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6507930039 |
|---|---|
| Medicare Enrollment ID | O20080804000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386775765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | F8877 (Texas) | Primary |
| Provider Name | Kaushal Kumar Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194710624 PECOS PAC ID: 5890753487 Enrollment ID: I20080801000170 |
| Provider Name | Nishi Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336373133 PECOS PAC ID: 4688823040 Enrollment ID: I20140311001674 |
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