Gupta, Krishan Kumar

Gupta, Krishan Kumar is an sole proprietor health care provider with primary practice located at 1059 Ridgewood Pl , Jackson MS 39211-2018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gupta, Krishan Kumar can be contacted via phone (601) 957-3211.

Contact Information

Primary practice address
1059 Ridgewood Pl Jackson MS 39211-2018
Phone: (601) 957-3211
Fax: (601) 957-9753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12941 Mississippi
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 12941 Mississippi

Profile Details

NPI number 1598769176
LBN Legal business name Gupta, Krishan Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2005
Last updated Mar 25th, 2021 - about 3 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 1598769176 NPPES
Mississippi MEDICAID 0014822

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