Gupta, Suraj Amar

Gupta, Suraj Amar is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gupta, Suraj Amar can be contacted via phone (847) 723-5020.

Contact Information

Primary practice address
1775 Dempster St Park Ridge IL 60068-1143
Phone: (847) 723-5020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 125.061269 Illinois
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 000000000 Illinois

Profile Details

NPI number 1225393804
LBN Legal business name Gupta, Suraj Amar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2012
Last updated Dec 27th, 2021 - about 3 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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