| Gayatri Gupta Physician Pllc | |
|
11 Crystal Spring Rd Chappaqua NY 10514-1412 | |
| (845) 362-8100 | |
| Not Available |
| Full Name | Gayatri Gupta Physician Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 Crystal Spring Rd, Chappaqua, New York |
| Authorized Official Name and Position | Hanan Waizman (BILLING) |
| Authorized Official Contact | 8453628100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gayatri Gupta Physician Pllc 11 Crystal Spring Rd Chappaqua NY 10514-1412 Ph: (845) 362-8100 | Gayatri Gupta Physician Pllc 11 Crystal Spring Rd Chappaqua NY 10514-1412 Ph: (845) 362-8100 |
| NPI Number | 1215160338 |
|---|---|
| Provider Enumeration Date | 08/25/2009 |
| Last Update Date | 08/25/2009 |
| Medicare PECOS PAC ID | 8426197096 |
|---|---|
| Medicare Enrollment ID | O20091120000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215160338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 183714 (New York) | Primary |
| Provider Name | Gayatri Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023192077 PECOS PAC ID: 9638193618 Enrollment ID: I20060117000922 |
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