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MADAN L GUPTA MD NPI 1215030481


NPI Information

NPI: 1215030481
Provider Name: MADAN L GUPTA, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
3315 N SEMINARY ST
GALESBURG, IL
ZIP 61401
Phone: (309) 344-1000
Get Directions

Madan L Gupta, MD is a cardiovascular disease internal medicine in Galesburg, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Madan L Gupta, MD NPI is 1215030481. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3315 N SEMINARY ST
GALESBURG, IL
ZIP 61401-251
Phone: (309) 344-1000
Fax: (309) 344-1054

The enumeration date for this NPI number is 9/6/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C37237MEDICARE UPIN
2364271985-10OTHERJOHN DEERE
310589098OTHERCAQH
40581348OTHERACS
5902600MEDICARE ID-TYPE UNSPECIFIED
64319343OTHERAETNA
74815127OTHERBC/BS
8530390MEDICARE ID-TYPE UNSPECIFIED
9938220MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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