| Dr Sanjiv Gupta, MD | |
|
300 State Highway 1947, Grayson, KY 41143 | |
| (606) 474-2200 | |
| (606) 474-2205 |
| Full Name | Dr Sanjiv Gupta |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 300 State Highway 1947, Grayson, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487761243 | NPI | - | NPPES |
| 2016446 | Medicaid | OH | |
| 64326861 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 32686 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters' Medical Center Hha | Ashland, KY | Home health agency |
| Tech Medical, Inc | Flatwoods, KY | Home health agency |
| Family Home Health Care, Llc Dba Adoration Home Health | Ashland, KY | Home health agency |
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Therapy And Health Centers Inc | 7416859574 | 263 |
| Entity Name | Sanjiv Gupta, M.D., P.S.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477562536 PECOS PAC ID: 7012970031 Enrollment ID: O20041110000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sanjiv Gupta, MD Po Box 1620, 300 State Hwy 1947, Grayson, KY 41143 Ph: (606) 474-2200 | Dr Sanjiv Gupta, MD 300 State Highway 1947, Grayson, KY 41143 Ph: (606) 474-2200 |
Dr. Miranda Beth Binion, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Bellefonte Dr, Grayson, KY 41143 Phone: 606-474-0669 Fax: 606-474-0376 |