Gupta, Deepti

Gupta, Deepti is an sole proprietor health care provider with primary practice located at 2 Medical Dr Ste D, Port Jefferson Station NY 11776-1598. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gupta, Deepti can be contacted via phone (631) 331-5010.

Contact Information

Primary practice address
2 Medical Dr Ste D Port Jefferson Station NY 11776-1598
Phone: (631) 331-5010
Fax: (631) 331-5017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 196816 New York

Profile Details

NPI number 1619936069
LBN Legal business name Gupta, Deepti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2006
Last updated Jul 3rd, 2017 - about 7 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 1619936069 NPPES
New York MEDICAID 01593246

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