1275526493 NPI number — DR. KRISHNA GOPAL GUPTA MD

Table of content: ANGELA DENISE HARRIS (NPI 1588399968)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275526493 NPI number — DR. KRISHNA GOPAL GUPTA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUPTA
Provider First Name:
KRISHNA
Provider Middle Name:
GOPAL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275526493
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
251 7TH ST
Provider Second Line Business Mailing Address:
SUITE C202
Provider Business Mailing Address City Name:
NEW KENSINGTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15068-6534
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-337-8404
Provider Business Mailing Address Fax Number:
724-337-4200

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
251 7TH ST
Provider Second Line Business Practice Location Address:
SUITE C202
Provider Business Practice Location Address City Name:
NEW KENSINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15068-6534
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-337-8404
Provider Business Practice Location Address Fax Number:
724-337-4200
Provider Enumeration Date:
08/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  MD020901E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1008641 . This is a "GATEWAY HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 94179 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000064297 . This is a "MEDPLUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000064297 . This is a "THREE RIVERS HEALTH PL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0000039578 . This is a "HIGHMARK BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0000039578 . This is a "PA BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 77801 . This is a "US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: C28368 . This is a "UPMC FOR YOU" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0000039578 . This is a "KEYSTONE HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 94179 . This is a "HEALTH AMERICA ADVANTR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0006815760003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 206878 . This is a "UPMC HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 94179 . This is a "HEALTH ASSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 25121574200 . This is a "OHIO BUREAU OF WORKERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1061214 . This is a "WV WORKMENS" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com