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SANDEEPKUMAR JAGDISHBHAI GUPTA M.D. NPI 1528485729


NPI Information

NPI: 1528485729
Provider Name: SANDEEPKUMAR JAGDISHBHAI GUPTA, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

PECOS Registration: Yes

Address:
120 WILLIAM PENN PLZ
DURHAM, NC
ZIP 27704
Phone: (919) 220-5255
Get Directions

Sandeepkumar Jagdishbhai Gupta, M.D. is a rheumatology internal medicine in Durham, NC with 16 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Sandeepkumar Jagdishbhai Gupta, M.D. NPI is 1528485729. 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:

120 WILLIAM PENN PLZ
DURHAM, NC
ZIP 27704-150
Phone: (919) 220-5255
Fax: (919) 220-6971

The NPI 1528485729 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2014 and was last updated on 5/24/2023.


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
1207R00000XInternal Medicine81788GEORGIANo
2207R00000XInternal Medicine56620TENNESSEENo
3208M00000XHospitalist2020-04827NORTH CAROLINANo
4207RR0500XInternal MedicineRheumatology2020-04827NORTH CAROLINAYes

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
11528485729MEDICAIDNORTH CAROLINA
22020-04827OTHERNORTH CAROLINANC MEDICAL LICENSE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.