Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 0101266595 | VA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 29260 | WV |
NPI | 1003182734 |
---|---|
Provider Name | Dr. Vivek Kumar Gupta |
First Address | Winchester, VA 22601-2888 |
Second Address | Winchester, VA 22601-2841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2012 |
Last Update Date | 13/03/2021 |