Provider Demographics
NPI:1013971365
Name:GUPTA, VINAY K (MD)
Entity Type:Individual
Prefix:DR
First Name:VINAY
Middle Name:K
Last Name:GUPTA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3333 N CALVERT ST
Mailing Address - Street 2:STE 655B
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2867
Mailing Address - Country:US
Mailing Address - Phone:410-554-2729
Mailing Address - Fax:
Practice Address - Street 1:9103 FRANKLIN SQUARE DR STE 2200
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237
Practice Address - Country:US
Practice Address - Phone:443-777-7911
Practice Address - Fax:443-777-6311
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD63369208600000X
MDD00633692086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H70664Medicare UPIN