| Sanjiv Gupta M.d. P.s.c. | |
|
300 St Hwy 1947 Suite A Grayson KY 41143-1947 | |
| (606) 474-2200 | |
| (606) 474-2205 |
| Full Name | Sanjiv Gupta M.d. P.s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 St Hwy 1947, Grayson, Kentucky |
| Authorized Official Name and Position | Sanjiv Gupta (PRESIDENT/OWNER) |
| Authorized Official Contact | 6064742200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjiv Gupta M.d. P.s.c. Po Box 1620 300 St Hwy 1947 Grayson KY 41143-5620 Ph: (606) 474-2200 | Sanjiv Gupta M.d. P.s.c. 300 St Hwy 1947 Suite A Grayson KY 41143-1947 Ph: (606) 474-2200 |
| NPI Number | 1477562536 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 04/28/2020 |
| Medicare PECOS PAC ID | 7012970031 |
|---|---|
| Medicare Enrollment ID | O20041110000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477562536 | NPI | - | NPPES |
| 2016446 | Medicaid | OH | |
| 64326861 | Medicaid | KY |
| Provider Name | Sanjiv Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487761243 PECOS PAC ID: 4688637614 Enrollment ID: I20041110000373 |
| Provider Name | Evan Patrick Seagraves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265827844 PECOS PAC ID: 8628389004 Enrollment ID: I20150626000222 |
Kings Daughters Medical Center Grayson Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Bellefonte Dr, Grayson, KY 41143 Phone: 606-474-0669 Fax: 606-474-0376 | |
Henry G. Adkins, M. D., P. S. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 State Highway 1947, Suite B, Grayson, KY 41143 Phone: 606-474-7808 Fax: 606-474-4654 | |
Grayson Chiropractic Center Psc Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 Horton St, Suite # 2, Grayson, KY 41143 Phone: 606-474-6445 Fax: 606-474-6445 | |
Grayson Alternate Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 S Hord St, Grayson, KY 41143 Phone: 606-694-1894 | |
Kings Daughters - East Carter Middle School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Spirit Ln, Grayson, KY 41143 Phone: 606-475-5500 Fax: 606-408-8908 | |
Kings Daughters - Carter City Elementary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13321 St Rt 2, Grayson, KY 41143 Phone: 606-408-8920 Fax: 606-408-8908 | |
Lewis County Primary Care Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Bellefonte Dr, Grayson, KY 41143 Phone: 606-474-0669 Fax: 606-474-0376 |