NPI 1003807397 · live from the CMS NPI Registry
Krishanu Bappa Gupta, M.D., Ph.D.
Radiology, Diagnostic Radiology in Cumberland, RI. National Provider Identifier 1003807397, active.
NPI record
| NPI | 1003807397 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 525 Broad St, Suite 202, Cumberland, RI 02864 |
| Practice phone | 401-727-4600 |
| Enumerated | November 4, 2005 |
| Last updated | December 6, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD11080 (RI) |
| Radiology, Diagnostic Radiology | 2085R0202X | 210605 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.