| Subhash C. Gupta, Md, Pa | |
|
601 E Sample Rd Suite 105 Pompano Beach FL 33064 | |
| (954) 943-1133 | |
| (954) 783-6845 |
| Full Name | Subhash C. Gupta, Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 E Sample Rd, Pompano Beach, Florida |
| Authorized Official Name and Position | Subhash C Gupta (DOCTOR/OWNER) |
| Authorized Official Contact | 9547399000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Subhash C. Gupta, Md, Pa 601 E. Sample Road Suite 105 Pompano Beach FL 33064 Ph: (954) 344-2522 | Subhash C. Gupta, Md, Pa 601 E Sample Rd Suite 105 Pompano Beach FL 33064 Ph: (954) 943-1133 |
| NPI Number | 1396005153 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 05/25/2012 |
| Medicare PECOS PAC ID | 3274560412 |
|---|---|
| Medicare Enrollment ID | O20050720000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396005153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME43566 (Florida) | Primary |
| Provider Name | Subhash C Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881652956 PECOS PAC ID: 5991732133 Enrollment ID: I20050727000950 |
| Provider Name | Mrinal S Garg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427393065 PECOS PAC ID: 0840413589 Enrollment ID: I20181109002009 |
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