Provider Demographics
NPI:1598887754
Name:GUPTA, BHUPENDRA KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:BHUPENDRA
Middle Name:KUMAR
Last Name:GUPTA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10651 E. STREET
Mailing Address - Street 2:BLDG. H-100
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78419
Mailing Address - Country:US
Mailing Address - Phone:361-961-6163
Mailing Address - Fax:813-653-9669
Practice Address - Street 1:10651 E. STREET
Practice Address - Street 2:BLDG. H-100
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78419
Practice Address - Country:US
Practice Address - Phone:361-961-6163
Practice Address - Fax:813-653-9669
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2021-11-02
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Provider Licenses
StateLicense IDTaxonomies
FLME 57015202C00000X, 2083A0100X, 2083P0500X, 2083P0901X, 2083T0002X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No2083T0002XAllopathic & Osteopathic PhysiciansPreventive MedicineMedical Toxicology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE56529Medicare UPIN