| Jaideep Gupta, MD | |
|
215 Grand Ave, Coral Gables, FL 33133-4841 | |
| (305) 441-7179 | |
| Not Available |
| Full Name | Jaideep Gupta |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 215 Grand Ave, Coral Gables, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730171729 | NPI | - | NPPES |
| 000000877024 | Other | IN | ANTHEM PROVIDER NUMBER |
| 201050470 | Medicaid | IN |
| Entity Name | St Vincent Pediatric Subspecialties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaideep Gupta, MD 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 Ph: (305) 661-1515 | Jaideep Gupta, MD 215 Grand Ave, Coral Gables, FL 33133-4841 Ph: (305) 441-7179 |
Dr. Carol Lebischak, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Grand Ave, Coral Gables, FL 33133 Phone: 305-441-7179 Fax: 305-448-7134 | |
Dr. Rebecca Jane Mcpherson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-661-1515 Fax: 305-663-5948 | |
Phuket Tantivit, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-662-8668 Fax: 305-662-3723 | |
Dr. Majd Dardas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-661-1515 | |
Ernesto E Erdmann, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 358 San Lorenzo Ave., Suite 3230, Coral Gables, FL 33146 Phone: 305-444-6882 Fax: 305-441-9110 | |
Alice Blavo, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-662-8668 Fax: 305-662-3723 | |
Liat Corcia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4425 Ponce De Leon Blvd, Suite 115, Coral Gables, FL 33146 Phone: 305-667-3152 |