| Seema Gupta Md Pc | |
|
640 S Washington St Ste 280 Naperville IL 60540-6603 | |
| (630) 778-9362 | |
| (630) 778-9448 |
| Full Name | Seema Gupta Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 640 S Washington St, Naperville, Illinois |
| Authorized Official Name and Position | Seema Gupta (PROVIDER/OWNER) |
| Authorized Official Contact | 6309837530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seema Gupta Md Pc 640 S Washington St Ste 280 Naperville IL 60540-6603 Ph: (630) 778-9362 | Seema Gupta Md Pc 640 S Washington St Ste 280 Naperville IL 60540-6603 Ph: (630) 778-9362 |
| NPI Number | 1093045080 |
|---|---|
| Provider Enumeration Date | 01/13/2010 |
| Last Update Date | 09/19/2013 |
| Medicare PECOS PAC ID | 6406972926 |
|---|---|
| Medicare Enrollment ID | O20100922000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093045080 | NPI | - | NPPES |
| 036089994 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036089994 (Illinois) | Primary |
| Provider Name | Seema S Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497861470 PECOS PAC ID: 3577689009 Enrollment ID: I20100922000121 |
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