NPI Index

SURYA GUPTA, MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

Active Individual
NPI: 1487643342

Practice Address

4803 KENTUCKY STREET
CAMC PEDIATRIC NEUROLOGY
South Charleston, WV 25309

Phone: (304) 766-7695

Specialties

Specialty Code Primary License
Pediatrics - Neurodevelopmental Disabilities 2080P0008X No MD057895L (PA)
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology 2084N0402X Yes 15026 (NH)

Frequently Asked Questions

NPI 1487643342 is the National Provider Identifier for SURYA GUPTA, MD, a Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology provider located in South Charleston, WV. This NPI was enumerated on October 13, 2005.
SURYA GUPTA, MD practices at 4803 KENTUCKY STREET, CAMC PEDIATRIC NEUROLOGY, South Charleston, WV 25309.

Quick Facts

NPI
1487643342
Type
Individual
Enumerated
Oct 13, 2005
Last Updated
Jul 18, 2013

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