Gupta, Ashutosh

Gupta, Ashutosh is an individual health care provider with primary practice located at 7531 S Stony Island Ave Suite 158 & 160, Chicago IL 60649-3954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gupta, Ashutosh can be contacted via phone (773) 947-2289.

Contact Information

Primary practice address
7531 S Stony Island Ave Suite 158 & 160 Chicago IL 60649-3954
Phone: (773) 947-2289
Fax: (773) 493-1430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036052219 Illinois

Profile Details

NPI number 1528065646
LBN Legal business name Gupta, Ashutosh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jul 26th, 2013 - about 11 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 1528065646 NPPES
Illinois MEDICAID 036052219

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