Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 26452 | WV |
N | 111NI0900X | Internist | 26452 | WV |
N | 207R00000X | Internist | MD464016 | PA |
N | 111NI0900X | Internist | MD464016 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | 26452 | WV |
N | 207RC0000X | Internist - Cardiovascular Disease | MD464016 | PA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 26452 | WV |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD464016 | PA |
NPI | 1134381981 |
---|---|
Provider Name | Dr. Ashwani Gupta |
First Address | Newtown, PA 18940-1873 |
Second Address | Langhorne, PA 19047-1223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2008 |
Last Update Date | 20/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1034402000005 | (05) | PA |