Gupta, Brijendra Kumar

Gupta, Brijendra Kumar is an sole proprietor health care provider with primary practice located at 6713 Lincoln Avenue , Lockport NY 14094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gupta, Brijendra Kumar can be contacted via phone (716) 433-0531.

Contact Information

Primary practice address
6713 Lincoln Avenue Lockport NY 14094
Fax: (716) 433-8446
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 141063 New York

Profile Details

NPI number 1831166206
LBN Legal business name Gupta, Brijendra Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Mar 12th, 2010 - about 14 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 1831166206 NPPES
Other 0109980 INDEPENDENT HEALTH
MEDICAID 00627069 INDEPENDENT HEALTH
Other 000508042001 INDEPENDENT HEALTH
Other 00010070501 INDEPENDENT HEALTH

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