Gupta, Pawan Kumar

Gupta, Pawan Kumar is an individual health care provider with primary practice located at 601 W Junipero St , Santa Barbara CA 93105-4213. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nuclear Medicine. Other Service Providers / Specialist is his primary health care specialty. Gupta, Pawan Kumar can be contacted via phone (805) 898-2187.

Contact Information

Primary practice address
601 W Junipero St Santa Barbara CA 93105-4213
Phone: (805) 898-2187
Fax: (805) 563-4440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A953988 California
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X A953988 California

Profile Details

NPI number 1831245810
LBN Legal business name Gupta, Pawan Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Apr 24th, 2012 - about 12 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 1831245810 NPPES
California MEDICAID CMM70596F

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