Gupta, Suman

Gupta, Suman is an individual health care provider with primary practice located at 850 W. Plymouth Ave , Deland FL 32720. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gupta, Suman can be contacted via phone (386) 736-6110.

Contact Information

Primary practice address
850 W. Plymouth Ave Deland FL 32720
Phone: (386) 736-6110
Fax: (386) 736-7998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME106178 Florida

Profile Details

NPI number 1457681041
LBN Legal business name Gupta, Suman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2010
Last updated Apr 23rd, 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 1457681041 NPPES
Florida MEDICAID 253359600

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