Gupta, Surendra Kumar

Gupta, Surendra Kumar is an sole proprietor health care provider with primary practice located at 3435 70Th St , Jackson Heights NY 11372-1055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gupta, Surendra Kumar can be contacted via phone (718) 651-9700.

Contact Information

Primary practice address
3435 70Th St Jackson Heights NY 11372-1055
Phone: (718) 651-9700
Fax: (718) 533-0264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 113450 New York

Profile Details

NPI number 1629056338
LBN Legal business name Gupta, Surendra Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1629056338 NPPES
New York MEDICAID 00206111

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