| Sindhu Gupta, Md,pc | |
|
1624 Crosby Ave Bronx NY 10461-5201 | |
| (718) 822-2138 | |
| (718) 822-6515 |
| Full Name | Sindhu Gupta, Md,pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1624 Crosby Ave, Bronx, New York |
| Authorized Official Name and Position | Sindhu Gupta (PRESIDENT) |
| Authorized Official Contact | 7188222138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sindhu Gupta, Md,pc 1624 Crosby Ave Bronx NY 10461-5201 Ph: (718) 822-2138 | Sindhu Gupta, Md,pc 1624 Crosby Ave Bronx NY 10461-5201 Ph: (718) 822-2138 |
| NPI Number | 1811036429 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3072404565 |
|---|---|
| Medicare Enrollment ID | O20040323001637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811036429 | NPI | - | NPPES |
| 02356150 | Medicaid | NY | |
| 01085556 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 174556 (New York) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 218854 (New York) | Primary |
| Provider Name | Sindhu Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548256183 PECOS PAC ID: 2264323690 Enrollment ID: I20100701000052 |
| Provider Name | Anil Gupta |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1154325694 PECOS PAC ID: 6608069802 Enrollment ID: I20101020000908 |
| Provider Name | Shiori Kinoshita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104260355 PECOS PAC ID: 1254562572 Enrollment ID: I20151020000235 |
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