Active NPI
Supriya Gupta, M.D.
- Student in an Organized Health Care Education/Training Program
- Bangor, ME
National Provider Identifier
1144484296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 302 Husson Avenue
Suite 1
Bangor, ME 04401 - Phone
- (207) 947-6141
- Fax
- (207) 947-6720
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
302 Husson Avenue
Suite 1
Bangor, ME 04401
Mailing address
43 Whiting Hill
Suite 300
Brewer, ME 04412
Phone (207) 947-6141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1144484296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 WHITING HILL",
"address_2": "SUITE 300",
"city": "BREWER",
"state": "ME",
"postal_code": "04412",
"telephone_number": "207-947-6141",
"fax_number": "207-947-6720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 HUSSON AVENUE",
"address_2": "SUITE 1",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-947-6141",
"fax_number": "207-947-6720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SUPRIYA",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.