Gupta, Vicram
Gupta, Vicram is an individual health care provider with primary practice located at 902 N Riverside Rd Ste 200, St Joseph MO 64507-2559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Gupta, Vicram can be contacted via phone (816) 271-1301.Contact Information
Primary practice address
902 N Riverside Rd Ste 200
St Joseph MO 64507-2559
Phone: (816) 271-1301
Fax: (816) 271-1302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 0427852 | Kansas |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 107588 | Missouri |
Profile Details
| NPI number | 1629046420 |
|---|---|
| LBN Legal business name | Gupta, Vicram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Oct 19th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629046420 | NPPES |
| Missouri | MEDICAID | 1629046420 | |
| Missouri | Other | 21958014 | |
| Missouri | Other | 056938 | |
| Missouri | Other | 704173 | |
| Missouri | Other | P00859658 | |
| Missouri | MEDICAID | 100173870C |
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