Gupta, Supriya

Gupta, Supriya is an sole proprietor health care provider with primary practice located at 500 W Court St , Kankakee IL 60901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Gupta, Supriya can be contacted via phone (877) 737-4636.

Contact Information

Primary practice address
500 W Court St Kankakee IL 60901
Phone: (877) 737-4636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME140594 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301501114 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036.143198 Illinois

Profile Details

NPI number 1548521883
LBN Legal business name Gupta, Supriya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2012
Last updated Mar 1st, 2024 - about 9 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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