ATUL GUPTA (NPI# 1558446989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558446989 |
| Entity Type | Individual |
| Full Name | ATUL GUPTA |
| Credential | MD |
| Practice Address |
40 Clwyd Rd Bala Cynwyd PA 19004-2440 |
| Practice Telephone | 2154218876 |
| Mailing Telephone | 2154218876 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD067240L | PA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD067240L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 3884840 | 01 |
| PA | KEYSTONE HEALTHPLAN EAST | 0367630000 | 01 |
| PA | AMERICHOICE | 0181381102 | 01 |
| PA | 0018138110006 | 05 | |
| PA | BLUE SHIELD PA | 597429 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487861720 | Atul Kumar Gupta | Radiology | 329 Wickham Glen Dr, Richmond, VA 23238-6161 | 2007-05-17 |
| 1427030212 | Atul Mohan Gupta | Emergency Medicine | 55a Sheridan Park Cir, Bluffton, SC 29910-6025 | 2005-11-17 |
| 1407381775 | Atul Gupta | Family Medicine | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2017-04-25 |
| 1609220250 | Atul Gupta | Family Medicine | 15 N Morris St, Portland, OR 97227-1541 | 2016-04-20 |
| 1710236245 | Atul Gupta | Physical Medicine & Rehabilitation | 1100 9th Ave, Seattle, WA 98101-2756 | 2012-08-30 |
| 1790826063 | Atul Gupta | Internal Medicine | 19550 E 39th St S, Suite 400, Independence, MO 64057-2303 | 2007-02-09 |
| 1821160136 | Atul N Gupta | Internal Medicine | 1051 Essington Rd, Suite 210, Joliet, IL 60435-2801 | 2006-11-14 |
| 1952340499 | Atul Gupta | Emergency Medicine | 2801 Atlantic Ave, Dept of Emergency Med, Long Beach, CA 90806-1701 | 2006-06-06 |
| 1396791729 | Atul Gupta | Anesthesiology | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2006-05-26 |
| 1912976093 | Atul K Gupta | Radiology | 1425 Portland Ave, Rochester, NY 14621-3001 | 2006-03-14 |
| Street Address |
40 CLWYD RD |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707819 | Katherine Lesher | Psychologist | 2 Bala Plaza Pl-13, Bala Plaza, PA 19004 | 2020-07-16 |
| 1144749342 | Apthcs | In Home Supportive Care | 150 Monument Road Suite 207, Bala Cynwyd, PA 19004 | 2017-09-19 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1003363235 | Catherine Kazanjian | Nurse Practitioner | 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 | 2016-09-06 |
| 1295181717 | Ruth Sampson-pilgrim | Nurse Practitioner | 160 Rock Hill Road, Vista Medical Services, Balacynwood, PA 19004 | 2016-05-13 |
| 1902252414 | Nurse Plus Home Care Agency,llc | In Home Supportive Care | Two Bala Plaza, Pmb #516, Suite 300, Bala Cynwyd, PA 19004 | 2016-05-13 |
| 1386010999 | Joan Lyall | Speech-Language Pathologist | 113 Ashland Avenue, Bala Cynwyd, PA 19004 | 2015-08-18 |
| 1922349158 | May W. Lee | Pediatrics | 130 E. Levering Mill Road, Bala Cynwyd, PA 19004 | 2013-03-13 |
| 1023362423 | Justin Carl Lavo | Physical Therapist | 100 Presidental Boulevard, Bala Cynwyd, PA 19004 | 2012-11-07 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| Find all providers in zip 19004 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 |
|---|---|---|---|---|
| 1205824679 | Open Mr Inc. | Radiology | 301 E City Ave, Bala Cynwyd, PA 19004-1708 | 2005-10-11 |
| 1790773174 | Robert A Goren | Radiology | 301 E City Ave, Bala Cynwyd, PA 19004-1708 | 2005-10-11 |
| 1285635805 | Sheldon Warren Gross | Radiology | 191 Presidential Blvd, Unit 217, Bala Cynwyd, PA 19004-1217 | 2005-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359014 | Kimberly Ann Nulph-laseck | Radiology | 65 Market St, Albion, PA 16401-1131 | 2020-08-31 |
| 1407478878 | Bridget Podbielski | Radiology | 1301 Summit Dr, Royersford, PA 19468-2873 | 2020-05-08 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1518522770 | Michael Anthony Branco | Radiology | 340 Wellslee Dr, Chambersburg, PA 17201-8289 | 2019-05-03 |
| 1700369535 | Tower Health Medical Group | Radiology | 301 S 7th Ave Ste 135, West Reading, PA 19611-1442 | 2018-09-07 |
| 1841784899 | Kyle Rives | Radiology | 200 Lothrop Street Upmc Presbyterian, South Tower 2nd Floor Suite 200, Pittsburgh, PA 15213 | 2018-06-21 |
| 1285128892 | Solomon Amemasor | Radiology | 200 Lothrop St Ste 200, Pittsburgh, PA 15213-2536 | 2018-06-18 |
| 1326545898 | Lehigh Valley Hospital | Radiology | 320 W Pumping Station Rd Ste 2, Quakertown, PA 18951-2345 | 2018-04-10 |
| 1376054874 | Irad Services, Inc. | Radiology | 1811 Golden Mile Hwy Ste B, Pittsburgh, PA 15239-2847 | 2017-10-24 |
| 1639689482 | Anna Maria Polizio | Radiology | 496 Cherry Ct, Pittsburgh, PA 15237-2608 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
| City | BALA CYNWYD |
| Zip Code | 19004 |
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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.