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Contact Information

SANJIV GUPTA, MD
300 STATE HIGHWAY 1947
GRAYSON, KY41143
 Phone: 606-474-2200
 Fax: 606-474-2205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SANJIV GUPTA · (Male)

NPI # 1487761243
Status Active
Credentials MD
Entity Individual
Enumeration date 08/25/2006
Last updated 09/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 32686
  • KY Medicaid 64326861
  • OH Medicaid 2016446
Hospital affiliation(s)
  • KING'S DAUGHTERS' MEDICAL CENTER - (Acute Care)
    2201 LEXINGTON AVENUE
    ASHLAND, KY 41101
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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