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SURESH GUPTA MD INC NPI 1508895640


NPI Information

NPI: 1508895640
Provider Name: SURESH GUPTA MD INC

Doing Business As: PAIN MANAGEMENT ASSOCIATES

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 36D2077807

Address:
1010 WOODMAN DR
DAYTON, OH
ZIP 45432
Phone: (937) 424-2215
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SURESH GUPTA MD INC is a specialist in Dayton, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SURESH GUPTA MD INC NPI is 1508895640. The provider is registered as an organization entity type.
The provider Is Doing Business As Pain Management Associates.

The provider's business location address is:

1010 WOODMAN DR
DAYTON, OH
ZIP 45432
Phone: (937) 424-2215
Fax: (937) 252-1224

The provider's authorized official is Garima Gupta .
The authorized official title is Credentialing Specialist and has the following contact phone number (937) 424-2215.

The CLIA number assigned to this NPI record is 36D2077807 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 8/2/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP3300XClinic/CenterPainOHIONo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12059481MEDICAIDOHIO
27683860001OTHERMEDICARE NSC
39276732OTHEROHIOMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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