Pavan Kumar Gupta in O Fallon - Cardiovascular Disease
Pavan Kumar Gupta - NPI 1861519563
Pavan Kumar Gupta is a Cardiovascular Disease in O Fallon, Illinois. Pavan Kumar Gupta practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Pavan Kumar Gupta is 1861519563. The last update date is 2021-12-21.
Pavan Kumar Gupta's current location address is Three Saint Elizabeth Blvd Ste 2800, O Fallon, Illinois. You can contact this provider via phone number 6182336044 and fax number 8339734218. The mailing address for Pavan Kumar Gupta is Three Saint Elizabeth Blvd Ste 2800, O Fallon, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Pavan Kumar Gupta |
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Address | Three Saint Elizabeth Blvd Ste 2800, O Fallon, Illinois |
Phone Number | 6182336044 |
Fax Number | 8339734218 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1861519563 |
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Provider Enumeration Date | 2007-03-26 |
Last Updated Date | 2021-12-21 |
Provider Mailing Address Detail
Address | Three Saint Elizabeth Blvd Ste 2800 |
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City | O Fallon |
State | Illinois (IL) |
Post Code | 622691282 |
Phone Number | 6182336044 |
Fax Number | 8339734218 |
Provider's Primary Taxonomy Detail
Speciality | Cardiovascular Disease |
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Taxonomy | 207Rc0000X |
Licence No | 36130576 |
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
36130576 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pavan Kumar Gupta by the Centers for Medicare & Medicaid Services?
The Pavan Kumar Gupta has been issued the NPI (National Provider Identifier) 1861519563, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Pavan Kumar Gupta is located?
The Pavan Kumar Gupta is situated at the following address: Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL, 622691282.
What is the area of specialization for Pavan Kumar Gupta, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pavan Kumar Gupta is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861519563 to Pavan Kumar Gupta?
The Centers for Medicare & Medicaid Services originally issued the 1861519563 to Pavan Kumar Gupta on 2007-03-26.
When was the Pavan Kumar Gupta's information last updated?
The Pavan Kumar Gupta's information was last updated on 2021-12-21.