| Isha Gupta Md, Pllc | |
|
14815 N Del Webb Blvd Sun City AZ 85351-2145 | |
| (623) 977-3300 | |
| (623) 977-6808 |
| Full Name | Isha Gupta Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14815 N Del Webb Blvd, Sun City, Arizona |
| Authorized Official Name and Position | Isha Gupta (PHYSICIAN) |
| Authorized Official Contact | 6239773300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Isha Gupta Md, Pllc 14815 N Del Webb Blvd Sun City AZ 85351-2145 Ph: (623) 977-3300 | Isha Gupta Md, Pllc 14815 N Del Webb Blvd Sun City AZ 85351-2145 Ph: (623) 977-3300 |
| NPI Number | 1043791981 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 08/28/2018 |
| Medicare PECOS PAC ID | 4486981479 |
|---|---|
| Medicare Enrollment ID | O20190814001249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043791981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 49904 (Arizona) | Primary |
| Provider Name | Srinivasa Honaganahally Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316933641 PECOS PAC ID: 3476588104 Enrollment ID: I20051001000040 |
| Provider Name | Isha Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255598744 PECOS PAC ID: 4385776087 Enrollment ID: I20150303002253 |
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