Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 036.151717 | IL |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 036.151717 | IL |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 49908 | KY |
NPI | 1982043998 |
---|---|
Provider Name | Dr. Ankita Gupta |
First Address | Louisville, KY 40201-0909 |
Second Address | Chicago, IL 60616-2332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2013 |
Last Update Date | 11/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100474500 | (05) | KY |