Gupta, Narendra Kumar

Gupta, Narendra Kumar is an individual health care provider with primary practice located at 1054 Martin Luther King Drive Suite 125, Centralia IL 62801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gupta, Narendra Kumar can be contacted via phone (618) 532-1155.

Contact Information

Primary practice address
1054 Martin Luther King Drive Suite 125 Centralia IL 62801
Phone: (618) 532-1155
Fax: (618) 532-1117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Illinois

Profile Details

NPI number 1487618351
LBN Legal business name Gupta, Narendra Kumar
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 9th, 2007 - about 17 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 1487618351 NPPES
Illinois Other 02900086 BLUE CROSS/BLUE SHIELD

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