Veena Kawatra Gupta in Mount Vernon - Family Medicine
Veena Kawatra Gupta - NPI 1790713899
Veena Kawatra Gupta is a Family Medicine in Mount Vernon, Illinois. Veena Kawatra Gupta practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Veena Kawatra Gupta is 1790713899. The last update date is 2015-02-24.
Veena Kawatra Gupta's current location address is 3307 Broadway, Mount Vernon, Illinois. You can contact this provider via phone number 6182447200 and fax number 6182447274. The mailing address for Veena Kawatra Gupta is 3307 Broadway, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Veena Kawatra Gupta |
|---|---|
| Address | 3307 Broadway, Mount Vernon, Illinois |
| Phone Number | 6182447200 |
| Fax Number | 6182447274 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790713899 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2015-02-24 |
Provider Mailing Address Detail
| Address | 3307 Broadway |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628642347 |
| Phone Number | 6182447200 |
| Fax Number | 6182447274 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36065879 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36065879 | IL | -- |
Post Comment/ Review Below
What is the Veena Kawatra Gupta's 1790713899?
The Veena Kawatra Gupta's NPI (National Provider Identifier) Number is 1790713899. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Veena Kawatra Gupta located?
The Veena Kawatra Gupta is located at 3307 Broadway, Mount Vernon, IL 628642347.
What is the Veena Kawatra Gupta's specialty and taxonomy code?
The Veena Kawatra Gupta's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date was the 1790713899 assigned to Veena Kawatra Gupta?
The Veena Kawatra Gupta was issued its 1790713899 on 2006-06-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Veena Kawatra Gupta's details last updated?
The information pertaining to the Veena Kawatra Gupta, including its address, specialty, and other details, was most recently updated on 2015-02-24.