Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SURYA N GUPTA, MD
ActiveNeurology with Special Qualifications in Child Neurology · SOUTH CHARLESTON, WV
Registration Details
- NPI Number
- 1487643342
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2005 (20.524367693412 yrs)
- Last Updated
- Jul 18, 2013
- Licenses
-
MD057895L (PA)15026 (NH)
Practice Information
- Address
-
4803 KENTUCKY STREETCAMC PEDIATRIC NEUROLOGYSOUTH CHARLESTON, WV, 253091547Browse WV providers · Browse ZIP 25309
- Phone
- 3047667695
- Fax
- 6036633229
- Primary Specialty
-
Neurology with Special Qualifications in Child Neurology
2084N0402X
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
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.