NPIRadar

Pravin Gupta, M.D. Valid NPI

Individual provider · Internal Medicine Physician · Summit, WI

NPI
1124132188
Type
Individual (Type 1)
Primary specialty
Internal Medicine Physician (Internal Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207R00000X
License number
9-320 (WI)
Sex
Male
Sole proprietor
No
Enumerated
2006-08-18
Last updated
2022-07-21
Practice location
36500 Aurora Dr
Summit, WI 53066-4899
(262) 434-1000

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