DR. KHUSHBOO GUPTA (NPI# 1114420304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114420304 |
Entity Type | Individual |
Full Name | DR. KHUSHBOO GUPTA |
Credential | MD |
Practice Address |
Rumc, 1653 W Congress Pkwy Jelke 181, Department of Radiology and Nuclear Medicine Chicao IL 60612 |
Mailing Address |
Rumc, 1653 W Congress Pkwy Jelke 181, Department of Radiology and Nuclear Medicine Chicago IL 60612 |
Practice Telephone | 3129424184 |
Mailing Telephone | 3129424184 |
Enumeration Date | 2018-03-14 |
Last Update Date | 2018-03-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
125.070469 | IL | Allopathic & Osteopathic Physicians |
Street Address |
RUMC, 1653 W CONGRESS PKWY JELKE 181, DEPARTMENT OF RADIOLOGY AND NUCLEAR MEDICINE |
City | CHICAO |
State | IL |
Zip Code | 60612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
Find all providers in zip 60612 |
Taxonomy Code | 2085N0904X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Nuclear Radiology |
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427272418 | Highland Nuclear Imaging LLP | Radiology | 330 W Army Trail Rd, Suite 405, Bloomingdale, IL 60108-2681 | 2007-04-12 |
1437231560 | Future Diagnostics Group LLC | Radiology | 254 Republic Ave, Joliet, IL 60435-6518 | 2006-10-19 |
1356310163 | Northwest Suburban Imaging Associates, S.c. | Radiology | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2006-03-15 |
1093716722 | Hinsdale Regional Pet Scan, LLC | Radiology | 812 E Ogden Ave, Westmont, IL 60559-1246 | 2005-08-03 |
1710988423 | Northshore Regional Pet Scan, LLC | Radiology | 1464 Waukegan Rd, Glenview, IL 60025-2121 | 2005-08-03 |
1396744751 | Northern Illinois Diagnostic Medical Imaging | Radiology | 200 Berteau Ave, Elmhurst, IL 60126-2966 | 2005-07-19 |
1306131719 | Cardiac Imaging Sc | Radiology | 1440 W North Ave, Suite 101, Melrose Park, IL 60160-1422 | 2011-06-14 |
1023240470 | John C Tricou Md LLC | Radiology | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2009-08-19 |
1902030661 | Joliet Oncology Hematology Associates Ltd | Radiology | 3825 Highland Ave, # 2l,tower 1, Downers Grove, IL 60515-1552 | 2009-05-11 |
1760621833 | Joliet Oncology Hematology Associates Ltd | Radiology | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2009-02-13 |
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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.