Gupta, Samir K.

Gupta, Samir K. is an individual health care provider with primary practice located at 520 Mary St Ste 520 , Evansville IN 47710-1682. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Gupta, Samir K. can be contacted via phone (812) 424-8231.

Contact Information

Primary practice address
520 Mary St Ste 520 Evansville IN 47710-1682
Phone: (812) 424-8231
Fax: (812) 435-8794
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 01085451A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 01085451A Indiana

Profile Details

NPI number 1073542585
LBN Legal business name Gupta, Samir K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 5th, 2024 - about 6 months 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 1073542585 NPPES
Indiana Other 01085451B IN CSR
Indiana MEDICAID 036100356 IN CSR
Indiana MEDICAID 201331400 IN CSR
Indiana Other 000000750011 IN CSR
Indiana Other 01085451A IN CSR
Indiana MEDICAID 7100756710 IN CSR

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