Gupta, Anjan

Gupta, Anjan is an individual health care provider with primary practice located at 6847 N Chestnut St Ste 100 , Ravenna OH 44266-3929. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Gupta, Anjan can be contacted via phone (330) 297-6110.

Contact Information

Primary practice address
6847 N Chestnut St Ste 100 Ravenna OH 44266-3929
Phone: (330) 297-6110
Fax: (330) 296-0592
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 37401 Wisconsin
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 37401-020 Wisconsin

Profile Details

NPI number 1780653154
LBN Legal business name Gupta, Anjan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780653154 NPPES
Wisconsin MEDICAID 32278400

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