Gupta, Chakshu

Gupta, Chakshu is an individual health care provider with primary practice located at 5325 Faraon St , Saint Joseph MO 64506-3488. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gupta, Chakshu can be contacted via phone (816) 271-6170.

Contact Information

Primary practice address
5325 Faraon St Saint Joseph MO 64506-3488
Phone: (816) 271-6170
Fax: (816) 271-6673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2004029637 Missouri

Profile Details

NPI number 1770519555
LBN Legal business name Gupta, Chakshu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Mar 6th, 2019 - about 6 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 1770519555 NPPES
Other 34925019 BLUE CROSS BLUE SHIELD KC
MEDICAID 209457803 BLUE CROSS BLUE SHIELD KC
Other 10001797600 BLUE CROSS BLUE SHIELD KC
MEDICAID 200309840A BLUE CROSS BLUE SHIELD KC

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