Gupta, Manish
Gupta, Manish is an individual health care provider with primary practice located at 777 Walter Reed Blvd Suite 201, Garland TX 75042-5727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Gupta, Manish can be contacted via phone (972) 272-3417.Contact Information
Primary practice address
777 Walter Reed Blvd Suite 201
Garland TX 75042-5727
Phone: (972) 272-3417
Fax: (972) 487-1749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | L4411 | Texas |
Profile Details
| NPI number | 1144262023 |
|---|---|
| LBN Legal business name | Gupta, Manish |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | May 5th, 2009 - about 15 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 | 1144262023 | NPPES |
| Texas | MEDICAID | 154481901 | |
| Texas | MEDICAID | 154481903 | |
| Texas | MEDICAID | 154481904 | |
| Texas | MEDICAID | 100845220A | |
| Texas | MEDICAID | 154481902 | |
| Texas | Other | 8R1452 |
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