Gupta, Ashutosh
Gupta, Ashutosh is an individual health care provider with primary practice located at 101 Hospital Rd , East Patchogue NY 11772-4870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gupta, Ashutosh can be contacted via phone (631) 475-7680.Contact Information
Primary practice address
101 Hospital Rd
East Patchogue NY 11772-4870
Phone: (631) 475-7680
Fax: (631) 475-7683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 213960 | New York |
Profile Details
| NPI number | 1861577314 |
|---|---|
| LBN Legal business name | Gupta, Ashutosh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1861577314 | NPPES |
| New York | MEDICAID | 01944334 |
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