Gayatri Gupta Physician Pllc | |
11 Crystal Spring Rd Chappaqua NY 10514-1412 | |
(845) 362-8100 | |
Not Available |
Full Name | Gayatri Gupta Physician Pllc |
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Speciality | Internal Medicine |
Location | 11 Crystal Spring Rd, Chappaqua, New York |
Authorized Official Name and Position | Hanan Waizman (BILLING) |
Authorized Official Contact | 8453628100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gayatri Gupta Physician Pllc 11 Crystal Spring Rd Chappaqua NY 10514-1412 Ph: (845) 362-8100 | Gayatri Gupta Physician Pllc 11 Crystal Spring Rd Chappaqua NY 10514-1412 Ph: (845) 362-8100 |
NPI Number | 1215160338 |
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Provider Enumeration Date | 08/25/2009 |
Last Update Date | 08/25/2009 |
Medicare PECOS PAC ID | 8426197096 |
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Medicare Enrollment ID | O20091120000516 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215160338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 183714 (New York) | Primary |
Provider Name | Gayatri Gupta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023192077 PECOS PAC ID: 9638193618 Enrollment ID: I20060117000922 |
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