Prem K Gupta Md Pc

LBN: Prem K Gupta Md Pc
Prem K Gupta Md Pc is an health care organization with primary practice located at 4709 Fort Hamilton Pkwy , Brooklyn NY 11219-2927. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Prem K Gupta Md Pc can be contacted via phone (718) 633-4244, or through Gupta, Prem K via phone (718) 633-4244.

Contact Information

Primary practice address
4709 Fort Hamilton Pkwy Brooklyn NY 11219-2927
Phone: (718) 633-4244
Fax: (718) 437-1556
Website:
Map and Directions
Authorized official contact:
Name: Gupta, Prem K Doctor of Medicine (MD)
Phone: (718) 633-4244

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 108782 New York

Profile Details

NPI number 1831170224
LBN Legal business name Prem K Gupta Md Pc
DBA Doing business as
Authorized official Gupta, Prem K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2005
Last updated Sep 24th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831170224 NPPES
New York MEDICAID 00192549

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