| Anil Gupta M D | |
|
421 S. Main Columbia IL 62236 | |
| (618) 281-7151 | |
| (618) 281-6680 |
| Full Name | Anil Gupta M D |
|---|---|
| Speciality | Family Medicine |
| Location | 421 S. Main, Columbia, Illinois |
| Authorized Official Name and Position | Anil Gupta (OWNER) |
| Authorized Official Contact | 6182817151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anil Gupta M D Po Box 522 421 South Main Street Columbia IL 62236 Ph: (618) 281-7151 | Anil Gupta M D 421 S. Main Columbia IL 62236 Ph: (618) 281-7151 |
| NPI Number | 1699870931 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 04/21/2025 |
| Medicare PECOS PAC ID | 5597653642 |
|---|---|
| Medicare Enrollment ID | O20040309001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699870931 | NPI | - | NPPES |
| 036086275 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036086275 (Illinois) | Primary |
| Provider Name | Anil Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912961558 PECOS PAC ID: 9335032028 Enrollment ID: I20040205001080 |
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