Pravin Gupta M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01039588 Issued in IN

Legal business name

PRAVIN GUPTA M.D., P.C.

Practice address

900 Ridge Rd
Ste L
Munster, IN 46321-1726

Phone

(219) 836-0031

Fax

(219) 836-0051

NPI assigned

Jan 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pravin Gupta, M.D.NPI 1124132188

Title

President

Phone

(219) 836-0031

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pravin Gupta, M.D.

  • Internal Medicine Physician
  • Summit, WI
  • NPI 1124132188
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1861679813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD",
            "address_2": "STE L",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211726",
            "telephone_number": "219-836-0031",
            "fax_number": "219-836-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD",
            "address_2": "STE L",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211726",
            "telephone_number": "219-836-0031",
            "fax_number": "219-836-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAVIN GUPTA M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "PRAVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-836-0031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01039588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dyanna JM Hamstra Prairie, AU.D.
• Kurt E Pramuk, D.D.S.
• Mridula Prasad, M.D.
• R Bhawani Prasad, M.D.
• Christine Marie Pratt
• Preference Health Services Inc.
• Mary Prem, MD
• Premier Orthopaedic and Hand Center, SC
• Premier Surgical Specialists PC
• Ashish Premkumar, MD

• Internal Medicine Physician in Munster, IN
• Providers in Munster, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.