DR. Anil Gupta, M.D.
NPI #1801953211 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1801953211
- Entity Type
- Individual
- Name
- DR. Anil Gupta, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2712 BROADWAY ST
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2342
- Phone
- (618) 244-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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