Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 5374 | SD |
NPI | 1114993680 |
---|---|
Provider Name | Ashutosh Gupta |
First Address | Sioux Falls, SD 57118-6370 |
Second Address | Sioux Falls, SD 57105-1014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 16/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000080878 | PRIMEWEST (01) | MN |
0581785 | (05) | IA |
1202972 | MEDICA (01) | SD |
13414 | (05) | ND |
2277812 | ARAZ/ AMERICA'S PPO (01) | SD |
243254 | MIDLANDS CHOICE (01) | SD |
36795 | SANFORD HEALTH PLAN (01) | SD |
370624200 | DEPT OF LABOR (01) | SD |
46022474339 | (05) | NE |
486T4GU | BLUE CROSS (01) | MN |
486T4GU | CC SYSTEMS/ BLUE PLUS (01) | MN |
4995353 | BLUE CROSS (01) | SD |
5374 | DAKOTACARE (01) | SD |
57105I009 | WPS TRICARE (01) | SD |
6004860 | (05) | SD |
684477400 | (05) | MN |
722801041579 | PREFERRED ONE (01) | SD |
HP43044 | HEALTHPARTNERS (01) | SD |
I08948 | (02) | SD |