Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 1-194179 | NY |
NPI | 1073569232 |
---|---|
Provider Name | Vinod K Gupta |
First Address | Hudson, NY 12534-2907 |
Second Address | Hudson, NY 12534-2907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 02/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000401540001 | BS OF NENY (01) | |
0061801 | GHI PPO (01) | |
01593360 | (05) | NY |
040426007287 | FIDELIS (01) | |
10000824 | CDPHP (01) | |
1349211 | UNITED HEALTHCARE (01) | |
195191 | WELLCARE (01) | |
277682 | MVP (01) | |
30652 | GHI HMO (01) | |
805872 | BC/BS (01) | |
G08499 | (02) | NY |
P920287 | OXFORD (01) |