Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | D63369 | MD |
N | 208600000X | Surgeon | D63369 | MD |
Y | 2086X0206X | Surgical Oncologist | D0063369 | MD |
NPI | 1013971365 |
---|---|
Provider Name | Dr. Vinay K. Gupta |
First Address | Baltimore, MD 21218-2867 |
Second Address | Rosedale, MD 21237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 28/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H70664 | (02) |