Gupta, Sushan

Gupta, Sushan is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2529. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gupta, Sushan can be contacted via phone (217) 383-3110.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2529
Phone: (217) 383-3110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 83353-20 Wisconsin
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 83353-20 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.077875 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1043808736
LBN Legal business name Gupta, Sushan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2021
Last updated Apr 2nd, 2024 - about last year

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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