| Pravin Gupta M.d., P.c. | |
|
900 Ridge Rd Ste L Munster IN 46321-1726 | |
| (219) 836-0031 | |
| (219) 836-0051 |
| Full Name | Pravin Gupta M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 Ridge Rd, Munster, Indiana |
| Authorized Official Name and Position | Pravin Gupta (PRESIDENT) |
| Authorized Official Contact | 2198360031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pravin Gupta M.d., P.c. 900 Ridge Rd Ste L Munster IN 46321-1726 Ph: (219) 836-0031 | Pravin Gupta M.d., P.c. 900 Ridge Rd Ste L Munster IN 46321-1726 Ph: (219) 836-0031 |
| NPI Number | 1861679813 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 11/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861679813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01039588 (Indiana) | Primary |
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