Gupta, Brijendra K

Gupta, Brijendra K is an individual health care provider with primary practice located at 2585 Herschel St , Jacksonville FL 32204-4557. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Gupta, Brijendra K can be contacted via phone (904) 388-2678.

Contact Information

Primary practice address
2585 Herschel St Jacksonville FL 32204-4557
Phone: (904) 388-2678
Fax: (904) 388-6776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME93901 Florida
Other Service Providers / Specialist 174400000X ME93901 Florida

Profile Details

NPI number 1639145352
LBN Legal business name Gupta, Brijendra K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jun 29th, 2021 - 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 1639145352 NPPES
Florida MEDICAID 273423100

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