Gupta, Pankaj Chand

Gupta, Pankaj Chand is an individual health care provider with primary practice located at 5890 Mayfair Rd , North Canton OH 44720-1547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gupta, Pankaj Chand can be contacted via phone (330) 305-2200.

Contact Information

Primary practice address
5890 Mayfair Rd North Canton OH 44720-1547
Phone: (330) 305-2200
Fax: (330) 305-2210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 227967 Massachusetts
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35-099606 Ohio

Profile Details

NPI number 1609929371
LBN Legal business name Gupta, Pankaj Chand
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Dec 9th, 2020 - about 4 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 1609929371 NPPES
Ohio MEDICAID 0069769
Ohio Other P01168884

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