Provider Demographics
NPI:1093719742
Name:GUPTA, SWARN KUMAR (MD)
Entity Type:Individual
Prefix:
First Name:SWARN
Middle Name:KUMAR
Last Name:GUPTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:180 16 WEXFORD TERRACE
Mailing Address - Street 2:SUITE CC
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3000
Mailing Address - Country:US
Mailing Address - Phone:718-657-6434
Mailing Address - Fax:718-657-5606
Practice Address - Street 1:18016 WEXFORD TER
Practice Address - Street 2:STE CC
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3004
Practice Address - Country:US
Practice Address - Phone:718-657-6434
Practice Address - Fax:718-657-5606
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2011-09-29
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Provider Licenses
StateLicense IDTaxonomies
NY137721207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease