Sanjiv Gupta M.d. P.s.c.

NPI #1477562536 in Grayson, Kentucky

Provider Information

NPI Number: 1477562536
Entity Type: Organization
Organization Name: Sanjiv Gupta M.d. P.s.c.
Primary Specialty: Internal Medicine
Enumeration Date: Aug 7, 2006
Last Updated: Apr 28, 2020

Practice Location

Address: 300 ST HWY 1947
Address 2: SUITE A
City: Grayson
State: Kentucky
ZIP Code: 41143-1947
Phone: (606) 474-2200

Authorized Official

Name: SANJIV GUPTA, MD
Title: PRESIDENT/OWNER
Phone: (606) 474-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Addiction Medicine — Addiction Medicine	207RA0401X
Durable Medical Equipment & Medical Supplies	332B00000X
Internal Medicine	207R00000X	Primary

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