| Brij Gupta MD Inc | |
|
10158 Buena Vista Ave Santee CA 92071-4435 | |
| (619) 562-1140 | |
| (619) 562-5362 |
| Full Name | Brij Gupta MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10158 Buena Vista Ave, Santee, California |
| Authorized Official Name and Position | Terri Woolley (OFFICE MANAGER) |
| Authorized Official Contact | 6195621140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brij Gupta MD Inc 10158 Buena Vista Ave Santee CA 92071-4435 Ph: (619) 562-1140 | Brij Gupta MD Inc 10158 Buena Vista Ave Santee CA 92071-4435 Ph: (619) 562-1140 |
| NPI Number | 1982875464 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 07/28/2008 |
| Medicare PECOS PAC ID | 2860460334 |
|---|---|
| Medicare Enrollment ID | O20080710000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982875464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A43950 (California) | Primary |
| Provider Name | Brij Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174532543 PECOS PAC ID: 0446228928 Enrollment ID: I20060208000303 |
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