DR. PAVAN GUPTA, MD

Internal Medicine - Cardiovascular Disease

Active Individual
NPI: 1861519563

Practice Address

THREE SAINT ELIZABETH BLVD STE 2800
O Fallon, IL 62269

Phone: (618) 233-6044

Specialties

Specialty Code Primary License
Hospitalist 208M00000X No 4301083827 (MI)
Student in an Organized Health Care Education/Training Program 390200000X No 4301083827 (MI)
Internal Medicine 207R00000X No 4301083827 (MI)
Internal Medicine - Cardiovascular Disease 207RC0000X Yes 036130576 (IL)

Frequently Asked Questions

NPI 1861519563 is the National Provider Identifier for DR. PAVAN GUPTA, MD, a Internal Medicine - Cardiovascular Disease provider located in O Fallon, IL. This NPI was enumerated on March 26, 2007.
DR. PAVAN GUPTA, MD practices at THREE SAINT ELIZABETH BLVD STE 2800, O Fallon, IL 62269.

Quick Facts

NPI
1861519563
Type
Individual
Enumerated
Mar 26, 2007
Last Updated
Dec 21, 2021

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