Provider Demographics
NPI:1457647646
Name:GUPTA, NITIN KUMAR (DO)
Entity type:Individual
Prefix:DR
First Name:NITIN
Middle Name:KUMAR
Last Name:GUPTA
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8918 GREEN MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-2668
Mailing Address - Country:US
Mailing Address - Phone:515-865-1568
Mailing Address - Fax:
Practice Address - Street 1:2214 CANTERBURY DR STE 300
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2397
Practice Address - Country:US
Practice Address - Phone:785-261-7450
Practice Address - Fax:785-261-7451
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-26
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0058333207R00000X, 207RP1001X, 207RC0200X
KS0550548207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty