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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598769176 | NPPES |
Mississippi | MEDICAID | 0014822 |
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