SUDHIR K GUPTA (NPI# 1437119286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437119286 |
| Entity Type | Individual |
| Full Name | SUDHIR K GUPTA |
| Credential | M.D. F.A.C.C. |
| Practice Address |
3208 Medical Park Drive Shawnee OK 74804-1707 |
| Practice Telephone | 4052730406 |
| Practice Fax Number | 4052731799 |
| Mailing Telephone | 4052730406 |
| Mailing Fax Number | 4052731799 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2011-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
15887 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100748780A | 05 | |
| OK | 100257730A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811077969 | Sudhir Gupta | Internal Medicine | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-16 |
| Street Address |
3208 MEDICAL PARK DRIVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548399637 | Shawnee Heart Center Inc | Specialist | 3208 Medical Park Drive, Shawnee, OK 74804 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1487600060 | Walid John Haddad | Internal Medicine | 3306 N Kickapoo Ave Ste 150, Shawnee, OK 74804-1718 | 2006-05-26 |
| 1598752503 | Kent H Potts | Internal Medicine | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2005-10-04 |
| 1780689844 | Troy R Norred | Internal Medicine | 3315 Kethley Rd, Shawnee, OK 74804 | 2005-06-16 |
| 1881945277 | Unity Physician Group | Internal Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2012-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790148 | Epic Heart Health | Internal Medicine | 1211 N Shartel Ave Ste 1005, Oklahoma City, OK 73103-2433 | 2020-08-11 |
| 1801355813 | Tulsa Cardiovascular Center of Excellence, L.l.c | Internal Medicine | 11912 S Norwood Ave Ste 105, Tulsa, OK 74137-5509 | 2019-03-19 |
| 1316469109 | Razan Ali Mohamed Elsayed | Internal Medicine | 800 Stanton L Young Blvd # 5481, Oklahoma City, OK 73104-5018 | 2017-07-12 |
| 1184043556 | Heart & Vascular Specialist of Oklahoma Pllc | Internal Medicine | 15601 Kestral Park Ct, Edmond, OK 73013-9505 | 2014-04-14 |
| 1316283724 | Jean Ann Pitts | Internal Medicine | 11177 Ns 367 Rd, Okemah, OK 74859-4437 | 2012-12-13 |
| 1356621353 | Taraka Vijaya Rama Raju Gadiraju | Internal Medicine | 6151 S Yale Ave Ste 1-304, Tulsa, OK 74136-1907 | 2011-08-22 |
| 1760776694 | Biyebelemo A Ekpete | Internal Medicine | 2115 Duncan Regional Loop Ste 200, Duncan, OK 73533-1577 | 2011-06-08 |
| 1174750749 | Matthew Joseph Comstock | Internal Medicine | 11912 S Norwood Ave Ste 110, Tulsa, OK 74137-5509 | 2009-06-22 |
| 1841441151 | Mohamad A. Mahayni, M.d., Inc. | Internal Medicine | 3502 W Okmulgee St, Muskogee, OK 74401-5073 | 2008-10-06 |
| 1225201718 | Christian Cardiovascular Institute PC | Internal Medicine | 3300 Nw 56th Street, Suite 200, Oklahoma City, OK 73112-4401 | 2008-04-07 |
| Find all providers with the same taxonomy | ||||
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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.