| Nandita Gupta Md, Pllc | |
|
1919 North Loop W Ste 395 Houston TX 77008-1364 | |
| (713) 861-9500 | |
| (713) 861-9501 |
| Full Name | Nandita Gupta Md, Pllc |
|---|---|
| Speciality | Preferred Provider Organization |
| Location | 1919 North Loop W Ste 395, Houston, Texas |
| Authorized Official Name and Position | Nandita Gupta (OWNER) |
| Authorized Official Contact | 7138619500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nandita Gupta Md, Pllc 1919 North Loop W Ste 395 Houston TX 77008-1364 Ph: (713) 861-9500 | Nandita Gupta Md, Pllc 1919 North Loop W Ste 395 Houston TX 77008-1364 Ph: (713) 861-9500 |
| NPI Number | 1487979969 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 12/20/2023 |
| Medicare PECOS PAC ID | 4789873084 |
|---|---|
| Medicare Enrollment ID | O20110118000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487979969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 305R00000X | Preferred Provider Organization | M8691 (Texas) | Primary |
| Provider Name | Nandita Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952626434 PECOS PAC ID: 0446449763 Enrollment ID: I20110118000603 |
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