| Shruti Gupta, DO | |
|
4200 Houma Blvd Fl 7, Metairie, LA 70006-2970 | |
| (504) 503-4331 | |
| (504) 503-4341 |
| Full Name | Shruti Gupta |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 4200 Houma Blvd Fl 7, Metairie, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942654207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34225 (Mississippi) | Secondary |
| 207Q00000X | Family Medicine | 307423 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Garden Park Medical Center | Gulfport, MS | Hospital |
| West Jefferson Medical Center | Marrero, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Orleans Physician Services Inc | 5294057824 | 141 |
| Singing River Gulfport | 5294154829 | 56 |
| Entity Name | East Jefferson Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922293372 PECOS PAC ID: 4587660402 Enrollment ID: O20090127000299 |
| Entity Name | New Orleans Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396169678 PECOS PAC ID: 5294057824 Enrollment ID: O20141209002021 |
| Mailing Address | Practice Location Address |
|---|---|
| Shruti Gupta, DO 2101 Highway 90, Gautier, MS 39553-5340 Ph: (228) 497-7576 | Shruti Gupta, DO 4200 Houma Blvd Fl 7, Metairie, LA 70006-2970 Ph: (504) 503-4331 |
Ka-yan Tong, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4509 Shores Dr, Metairie, LA 70006 Phone: 504-885-2535 | |
Joseph Michael Fazio, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 206 Sierra Ct, Metairie, LA 70001 Phone: 504-834-1311 Fax: 504-834-1329 | |
Dr. Richard Edward Bridges, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4228 Houma Blvd, Ste 200, Metairie, LA 70006 Phone: 504-454-7878 Fax: 504-883-3775 | |
Charles Joseph Cucchiara, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4228 Houma Blvd, Ste 200, Metairie, LA 70006 Phone: 504-454-7878 Fax: 504-883-3775 | |
Dr. Michelle Mireille Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4224 Houma Blvd Ste 350, Metairie, LA 70006 Phone: 504-780-9112 Fax: 314-536-8784 | |
Debra Ann Stumpf Hollister, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3530 Houma Blvd Ste 300, Metairie, LA 70006 Phone: 504-264-5142 Fax: 504-455-2648 | |
Dr. Nicholas Paul Hahn, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3530 Houma Blvd Ste 300, Metairie, LA 70006 Phone: 504-264-5142 Fax: 504-455-2648 |