Search › West Virginia › 2084N0402X
Surya Gupta, MD
NPI 1487643342 · on the registry since 2005
Practice
- Address
- 4803 Kentucky Street
Camc Pediatric Neurology
South Charleston, WV 25309 - Phone
- (304) 766-7695
- Fax
- (603) 663-3229
- Organisation at this address
- Laboratory Corporation Of America Holdings
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2084N0402X
2084N0402X
- Also registered as
- 2080P0008X
- Licence states on file
- PA, NH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia