Gupta, Anil Kumar
Gupta, Anil Kumar is an sole proprietor health care provider with primary practice located at 3312 N Oak St Ext Bldg D , Valdosta GA 31605-1066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gupta, Anil Kumar can be contacted via phone (229) 244-2030.Contact Information
Primary practice address
3312 N Oak St Ext Bldg D
Valdosta GA 31605-1066
Phone: (229) 244-2030
Fax: (229) 244-2038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 045487 | Georgia |
Profile Details
| NPI number | 1568490944 |
|---|---|
| LBN Legal business name | Gupta, Anil Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Sep 8th, 2020 - about 4 years ago |
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 | 1568490944 | NPPES |
| Georgia | MEDICAID | 000934975J |
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