Pravin Gupta M.d., P.c.

NPI #1861679813 in Munster, Indiana

Provider Information

NPI Number: 1861679813
Entity Type: Organization
Organization Name: Pravin Gupta M.d., P.c.
Primary Specialty: Internal Medicine
Enumeration Date: Jan 22, 2008
Last Updated: Nov 12, 2009

Practice Location

Address: 900 RIDGE RD
Address 2: STE L
City: Munster
State: Indiana
ZIP Code: 46321-1726
Phone: (219) 836-0031

Authorized Official

Name: DR. PRAVIN GUPTA, M.D.
Title: PRESIDENT
Phone: (219) 836-0031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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