Gupta, Anil
Gupta, Anil is an sole proprietor health care provider with primary practice located at 421 South Main Street , Columbia IL 62236. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gupta, Anil can be contacted via phone (618) 281-7151.Contact Information
Primary practice address
421 South Main Street
Columbia IL 62236
Phone: (618) 281-7151
Fax: (618) 281-6680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036086275 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01070862A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 104738 | Missouri |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 104738 | Missouri |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036086275 | Illinois |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 104738 | Missouri |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 01070862A | Indiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 104738 | Missouri |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01070862A | Indiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036086275 | Illinois |
Profile Details
| NPI number | 1912961558 |
|---|---|
| LBN Legal business name | Gupta, Anil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2006 |
| Last updated | May 6th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912961558 | NPPES |
| Illinois | MEDICAID | 036086275 |
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