Dr. Manish Gupta
Medical Oncology
777 Walter Reed Blvd Suite 201
Garland
, Texas 75042-5727
Dr. Manish Gupta
Medical Oncology
777 Walter Reed Blvd Suite 201
Garland
, Texas 75042-5727
(972) 437-9605
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Dr. Manish Gupta
- Po Box 911230
- Dallas, TX
- Zip : 75391-1230
- Fax : (972) 437-9605
- Phone : (972) 997-8000
Second Address
- Dr. Manish Gupta
- 777 Walter Reed Blvd Suite 201
- Garland, TX
- Zip : 75042-5727
- Fax : (972) 487-1749
- Phone : (972) 272-3417
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | L4411 | TX |
National Provider Identifier
| NPI | 1144262023 |
|---|---|
| Provider Name | Dr. Manish Gupta |
| First Address | Dallas, TX 75391-1230 |
| Second Address | Garland, TX 75042-5727 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2006 |
| Last Update Date | 05/05/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100845220A | (05) | OK |
| 154481901 | (05) | TX |
| 154481902 | (05) | TX |
| 154481903 | (05) | TX |
| 154481904 | (05) | TX |
| 8R1452 | BLUE CROSS OF TEXAS (01) | TX |
| H64750 | (02) | TX |
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.