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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:

PrimaryCodeCategory/DescriptionStateLicense Number
N2080P0201XPhysicians
Pediatrics
Pediatric Allergy & Immunology
NY174785
Y207K00000XPhysicians
Allergy & Immunology
NY174785
N208000000XPhysicians
Pediatrics
NY174785

Other Provider Identifiers:

IssuerNumberStateType
HEALTHPLUS (PEDS/RANDALL)316710101NY01
01136034NY05
UNITED HEALTHCARE12-02734NY01
FIDELIS (ALLERGY)60402281NY01
FIDELIS (PEDS/CROSBY)6040228CNY01
OXFORDGP25801
GHI0015730NM01
AFFINITY (ALLERGY)1000001124NM01
HIP11373PNM01
HIP (RANDALL AVENUE)29747PNY01
Code values:
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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