Anuja Gupta
Pediatric Cardiologist
500 N Wall St Suite 100
Kankakee
, Illinois 60901-2942
Anuja Gupta
Pediatric Cardiologist
500 N Wall St Suite 100
Kankakee
, Illinois 60901-2942
(815) 935-7256
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Anuja Gupta
- 1905 W Court St
- Kankakee, IL
- Zip : 60901-3163
- Phone : (815) 935-7256
Second Address
- Anuja Gupta
- 500 N Wall St Suite 100
- Kankakee, IL
- Zip : 60901-2942
- Phone : (815) 933-2557
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 2004-0758 | NM |
National Provider Identifier
| NPI | 1013938257 |
|---|---|
| Provider Name | Anuja Gupta |
| First Address | Kankakee, IL 60901-3163 |
| Second Address | Kankakee, IL 60901-2942 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2006 |
| Last Update Date | 24/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| K46407 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.