VICRAM GUPTA MD NPI 1629046420

NPI Information

NPI: 1629046420
Provider Name: VICRAM GUPTA, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

Address:
902 N RIVERSIDE RD
STE 200
ST JOSEPH, MO
ZIP 64507
Phone: (816) 271-1301
Get Directions

Vicram Gupta, MD is a medical oncology internal medicine in St Joseph, MO. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Vicram Gupta, MD NPI is 1629046420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

902 N RIVERSIDE RD
STE 200
ST JOSEPH, MO
ZIP 64507-559
Phone: (816) 271-1301
Fax: (816) 271-1302

The enumeration date for this NPI number is 3/9/2006 and was last updated on 10/19/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RX0202X	Internal Medicine	Medical Oncology	107588	MISSOURI	Yes
2	207RX0202X	Internal Medicine	Medical Oncology	0427852	KANSAS	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	056938	OTHER	KANSAS	BCBS OF KS FOR KS LOCATIO
2	21958014	OTHER	MISSOURI	BLUE CROSS BLUE SHIELD
3	C16392	MEDICARE UPIN
4	100173870C	MEDICAID	KANSAS
5	110621005	MEDICARE PIN	KANSAS
6	1629046420	MEDICAID	MISSOURI
7	704173	OTHER	KANSAS	BCBS OF KS FOR MO LOCATIO
8	P00859658	OTHER	MISSOURI	RR MEDICARE
9	MA2554002	MEDICARE PIN	MISSOURI

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: 5/5/2024

NPI Synchronization or Removal

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