| Sandeep Gupta Md Llc | |
|
2450 Underhill Rd Ottawa Hills OH 43615-2332 | |
| (419) 290-3672 | |
| Not Available |
| Full Name | Sandeep Gupta Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2450 Underhill Rd, Ottawa Hills, Ohio |
| Authorized Official Name and Position | Sandeep Gupta (PSYCHIATRIST) |
| Authorized Official Contact | 4192903672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandeep Gupta Md Llc 2450 Underhill Rd Ottawa Hills OH 43615-2332 Ph: (419) 290-3672 | Sandeep Gupta Md Llc 2450 Underhill Rd Ottawa Hills OH 43615-2332 Ph: (419) 290-3672 |
| NPI Number | 1245650001 |
|---|---|
| Provider Enumeration Date | 04/21/2014 |
| Last Update Date | 04/21/2014 |
| Medicare PECOS PAC ID | 1951524016 |
|---|---|
| Medicare Enrollment ID | O20140519001998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245650001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35.122881 (Ohio) | Primary |
| Provider Name | Sandeep Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164652418 PECOS PAC ID: 3577786623 Enrollment ID: I20140519001675 |
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