Gupta Mdsc is a Sleep Medicine in Hazel Crest, Illinois. Gupta Mdsc practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Gupta Mdsc is 1962523720. The last update date is 2017-03-24.
Gupta Mdsc's current location address is 17850 South Kedzie Avenue, Hazel Crest, Illinois. You can contact this provider via phone number 7087996055. The mailing address for Gupta Mdsc is 17850 South Kedzie Avenue, Hazel Crest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gupta Mdsc |
|---|---|
| Address | 17850 South Kedzie Avenue, Hazel Crest, Illinois |
| Phone Number | 7087996055 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gupta G Raj |
| Credentials | MD |
| Telephone Number | 7085255008 |
NPI Number Detail
| NPI Number | 1962523720 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2017-03-24 |
Provider Mailing Address Detail
| Address | 17850 South Kedzie Avenue |
|---|---|
| City | Hazel Crest |
| State | Illinois (IL) |
| Post Code | 60429 |
| Phone Number | 7087996055 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 207Rs0012X |
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Definition: An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep speciali |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21609346 | BC/BS PROVIDER # FOR GUPTA MD | ||
| CD2646 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Gupta Mdsc's 1962523720?
The Gupta Mdsc's NPI (National Provider Identifier) Number is 1962523720. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gupta Mdsc?
The Gupta Mdsc is physically situated at 17850 South Kedzie Avenue, in the city of Hazel Crest, state of IL, with the postal code 60429.
What is Gupta Mdsc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gupta Mdsc is Sleep Medicine, and the taxonomy code that categorizes this field of expertise is 207Rs0012X.
On what date did Gupta Mdsc receive its 1962523720 assignment from the Centers for Medicare & Medicaid Services?
The Gupta Mdsc was assigned its 1962523720 on 2007-04-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Gupta Mdsc last refreshed?
The information related to the Gupta Mdsc, including its address, specialty, and other relevant details, was last updated on 2017-03-24.