NPI 1154941250 · live from the CMS NPI Registry
Nikhil Gupta, MD
Internal Medicine, Cardiovascular Disease in Portland, OR. National Provider Identifier 1154941250, active.
NPI record
| NPI | 1154941250 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239 |
| Practice phone | 503-494-8311 |
| Enumerated | April 20, 2020 |
| Last updated | July 3, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 125.076708 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | MD215919 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.