Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | M4799 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | M4799 | TX |
NPI | 1306953104 |
---|---|
Provider Name | Sachin Gupta |
First Address | San Antonio, TX 78229-3824 |
Second Address | San Antonio, TX 78229-3824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 01/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
183787405 | (05) | TX |
183787406 | MEDICAID - OTHER (01) | TX |
183787407 | MEDICAID - TARRANT (01) | TX |
329768YL7A | MEDICARE - OTHER (01) | TX |
329768YNGS | MEDICARE - TARRANT (01) | TX |