ANIL GUPTA MD
Allergy and Immunology
Bronx, New York
Provider NPI: 1154325694
Provider Information:ANIL GUPTA MD
Practice Location:
1624 CROSBY AVE BRONX, NY 10461 US
Tel: 718-822-0676 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2080P0201X | Physicians Pediatrics Pediatric Allergy & Immunology | NY | 174785 |
| Y | 207K00000X | Physicians Allergy & Immunology | NY | 174785 |
| N | 208000000X | Physicians Pediatrics | NY | 174785 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| HEALTHPLUS (PEDS/RANDALL) | 316710101 | NY | 01 |
| 01136034 | NY | 05 | |
| UNITED HEALTHCARE | 12-02734 | NY | 01 |
| FIDELIS (ALLERGY) | 60402281 | NY | 01 |
| FIDELIS (PEDS/CROSBY) | 6040228C | NY | 01 |
| OXFORD | GP258 | 01 | |
| GHI | 0015730 | NM | 01 |
| AFFINITY (ALLERGY) | 1000001124 | NM | 01 |
| HIP | 11373P | NM | 01 |
| HIP (RANDALL AVENUE) | 29747P | NY | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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