Gupta, Anjali

Gupta, Anjali is an individual health care provider with primary practice located at 1320 S Bay St , Eustis FL 32726-5551. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Gupta, Anjali can be contacted via phone (352) 530-9557.

Contact Information

Primary practice address
1320 S Bay St Eustis FL 32726-5551
Phone: (352) 530-9557
Fax: (352) 602-7149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 036129588 Illinois
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 37462 Iowa
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD063886L Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X ME136879 Florida

Profile Details

NPI number 1760414122
LBN Legal business name Gupta, Anjali
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 23rd, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760414122 NPPES
Iowa Other 70640 WELLMARK BCBS
Iowa Other ME136879 WELLMARK BCBS
Iowa MEDICAID 0016869060001 WELLMARK BCBS

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