DR. KARAN GUPTA (NPI# 1093157836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093157836 |
| Entity Type | Individual |
| Full Name | DR. KARAN GUPTA |
| Credential | M.D. |
| Practice Address |
6040 S Fort Apache Rd Ste 100 Las Vegas NV 89148-5613 |
| Practice Telephone | 7024764900 |
| Mailing Telephone | 7024764900 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
19346 | NV | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
19346 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NV MEDICAL LICENSE | 19346 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104219161 | Karan Gupta | Student in an Organized Health Care Education/Training Program | 2001 W 68th St, Suite 202, Hialeah, FL 33016-1801 | 2015-03-13 |
| Street Address |
6040 S FORT APACHE RD STE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-5613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437147295 | Joaquim S Tavares | Internal Medicine | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2005-10-06 |
| 1801403126 | Kori Leftwich | Nurse Practitioner | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2020-09-30 |
| 1629684337 | Laurie Ann Blas Salcedo Hoang | Nurse Practitioner | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2020-09-17 |
| 1093340770 | Aya Werra | Nurse Practitioner | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2020-03-03 |
| 1174161566 | Leslie Kirkegard | Dietitian, Registered | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2019-12-16 |
| 1902377229 | Jeniffer Creque | Nurse Practitioner | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2018-12-14 |
| 1568930972 | Nancy Sahagun | Nurse Practitioner | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2018-11-05 |
| 1093210577 | Anthony Tubig Ligones | Nurse Practitioner | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2018-03-27 |
| 1396272860 | Tara Sue Kenny | Dietitian, Registered | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2017-05-16 |
| 1407290968 | Michael John Gale | Internal Medicine | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148 | 2013-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
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| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467821264 | Landers Intensive Care Services, Ltd | Internal Medicine | 2879 Geary Pl Unit 2811, Las Vegas, NV 89109-0218 | 2015-09-22 |
| 1629397690 | Pedro P Hani Md PC | Internal Medicine | 8255 Las Vegas Blvd S, Unit 1719, Las Vegas, NV 89123-1064 | 2010-05-28 |
| 1013114487 | David Steiger | Internal Medicine | 2000 Goldring Ave, Las Vegas, NV 89106-4006 | 2007-06-29 |
| 1033164009 | Hidenobu Shigemitsu | Internal Medicine | 1707 W. Charleston Blvd, #220, Las Vegas, NV 89102 | 2006-05-24 |
| 1316996721 | Charles D Mcpherson | Internal Medicine | 3121 South Maryland Pkwy, Ste 502, Las Vegas, NV 89148 | 2006-05-10 |
| 1558310656 | James S.j. Hsu | Internal Medicine | 9280 West Sunset Rd, # 312, Las Vegas, NV 89148 | 2006-05-08 |
| 1184693962 | Sharon Brenda Landers | Internal Medicine | 1555 E Flamingo Rd, Las Vegas, NV 89119-5261 | 2006-03-15 |
| 1437147295 | Joaquim S Tavares | Internal Medicine | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2005-10-06 |
| 1407290968 | Michael John Gale | Internal Medicine | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148 | 2013-04-26 |
| 1013212893 | Nancy Esther Holder | Internal Medicine | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2011-01-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.