DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAMEER GUPTA, MD

Active

DR. SAMEER GUPTA, MD is a 202K00000X healthcare provider located in SAINT JOSEPH, Missouri. NPI 1043293996 is currently active in the NPPES registry. Verify at CMS.

202K00000X · SAINT JOSEPH, MO

Registration Details

NPI Number
1043293996
Provider Type
Individual
Gender
Male
NPI Issued
Nov 23, 2005 (20.722653234613 yrs)
Last Updated
Feb 28, 2018
Licenses
2005006001 (MO)
01060297A (IN)
2005006001 (MO)

Practice Information

Address
4906 FREDERICK AVE
SAINT JOSEPH, MO, 645063246
Browse MO providers · Browse ZIP 64506
Phone
8163960245
Fax
8168175746
Primary Specialty
202K00000X
202K00000X
Additional Specialty
Family Medicine
Additional Specialty
202K00000X

Other 202K00000X Providers in SAINT JOSEPH, MO

Name Credential NPI
DR. MICHAEL E. NELLESTEIN M.D. 1104848662
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.