Gupta, Pankaj

Gupta, Pankaj is an individual health care provider with primary practice located at 4102 N Roxboro St North Carolina Eye Ear Nose And Throat, Durham NC 27704-2122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gupta, Pankaj can be contacted via phone (919) 595-2000.

Contact Information

Primary practice address
4102 N Roxboro St North Carolina Eye Ear Nose And Throat Durham NC 27704-2122
Fax: (919) 595-2190
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 41792-020 Wisconsin

Profile Details

NPI number 1306880992
LBN Legal business name Gupta, Pankaj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Dec 13th, 2023 - about 2 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 1306880992 NPPES
North Carolina Other 2023442 MEDICARE PTAN

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