SURESH GUPTA MD INC NPI 1508895640

NPI Information

NPI: 1508895640
Provider Name: SURESH GUPTA MD INC
Classification: Specialist - 174400000X
Entity Type: Organization
Doing Business As: PAIN MANAGEMENT ASSOCIATES
CLIA Number: 36D2077807
Address: 1010 WOODMAN DR
DAYTON, OH
ZIP 45432
Phone: (937) 424-2215

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NPI Details

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 Sapna Gupta .
The authorized official title is Chief Legal Officer and has the following contact phone number (937) 620-0720.

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 12/26/2022.

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 State	Primary
1	261QP3300X	Clinic/Center	Pain	OHIO	No
2	332B00000X	Durable Medical Equipment & Medical Supplies			No
3	174400000X	Specialist			Yes

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	2059481	MEDICAID	OHIO
2	7683860001	OTHER		MEDICARE NSC
3	9276732	OTHER	OHIO	MEDICARE

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: 11/21/2025

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