Anjali Gupta is a Addiction Medicine in Eustis, Florida. Anjali Gupta practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Anjali Gupta is 1760414122. The last update date is 2019-10-23.
Anjali Gupta's current location address is 1320 S Bay St, Eustis, Florida. You can contact this provider via phone number 3525309557 and fax number 3526027149. The mailing address for Anjali Gupta is 1320 S Bay St, Eustis, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anjali Gupta |
|---|---|
| Address | 1320 S Bay St, Eustis, Florida |
| Phone Number | 3525309557 |
| Fax Number | 3526027149 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1760414122 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2019-10-23 |
Provider Mailing Address Detail
| Address | 1320 S Bay St |
|---|---|
| City | Eustis |
| State | Florida (FL) |
| Post Code | 327265551 |
| Phone Number | 3525309557 |
| Fax Number | 3526027149 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 36129588 |
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Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70640 | IA | WELLMARK BCBS | |
| ME136879 | FL | MEDICAL LICENSE | |
| 16869060001 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Anjali Gupta by the Centers for Medicare & Medicaid Services?
The Anjali Gupta has been assigned the NPI (National Provider Identifier) 1760414122. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Anjali Gupta is physically located?
The Anjali Gupta is physically situated at the following address: 1320 S Bay St, Eustis, FL, 327265551.
What is the area of specialization for Anjali Gupta, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Anjali Gupta is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2084A0401X.
When did Anjali Gupta receive its 1760414122 assignment?
The Anjali Gupta was assigned its 1760414122 on 2006-07-07, which is the date when this unique identifier was issued to the organization.
When was the Anjali Gupta's information last updated?
The Anjali Gupta's information was last updated on 2019-10-23.