Gopal N. Gupta MD

NPI 1326182015 - Urology - 208800000X

NPI Details
NPI 1326182015
Gender Male
Enumeration Date 02/16/2007
Last Updated 06/11/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
2160 S 1ST AVE
FAHEY CENTER, BLDG 54
MAYWOOD IL, 60153-3328, US
Phone (708) 216-5098
Fax (708) 126-1699
Business Location
2160 S 1ST AVE
FAHEY CENTER, BLDG 54
MAYWOOD IL, 60153-3328, US
Phone (708) 216-5098
Fax (708) 126-1699
Toxanomy
Taxonomy Code 208800000X
License State Illinois
License Number 036128866
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According to our database, Gopal N. Gupta MD NPI is 1326182015, taxonomy code is 208800000X and license number is 036128866, license state is located at Illinois. Gopal N. Gupta MD physically located at 2160 S 1st Ave, Maywood IL, 60153-3328. NPI Number Gopal N. Gupta MD has the Individual type.

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1326182015 NPI number is provided on an as is basis without warranty of any kind. 1326182015 is maintained by the National Plan & Provider Enumeration System. The contents of Gopal N. Gupta MD are for informational purposes only.