Gautam Gupta Md Llc

LBN: Gautam Gupta Md Llc
Gautam Gupta Md Llc is an health care organization with primary practice located at 6090 Strathmoor Dr , Rockford IL 61107-6628. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Gautam Gupta Md Llc can be contacted via phone (815) 229-1899, or through Gupta, Gautam via phone (815) 229-1899.

Contact Information

Primary practice address
6090 Strathmoor Dr Rockford IL 61107-6628
Phone: (815) 229-1899
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gupta, Gautam Doctor of Medicine (MD)
Phone: (815) 229-1899

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1396063046
LBN Legal business name Gautam Gupta Md Llc
DBA Doing business as
Authorized official Gupta, Gautam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2010
Last updated May 5th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers