Individual provider · Type 1 NPI
Surya N. Gupta, MD
Neurology with Special Qualifications in Child Neurology Physician · South Charleston, WV
Practice location
4803 Kentucky Street, Camc Pediatric Neurology
South Charleston, WV 25309-1547
Fax (603) 663-3229
Mailing address
PO Box 1547, Camc Pediatric Neurology
Charleston, WV 25326-1547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | MD057895L (PA) |
| Neurology with Special Qualifications in Child Neurology Physician Primary | 2084N0402X | 15026 (NH) |
Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
About NPI 1487643342
Surya N. Gupta, MD's National Provider Identifier is 1487643342, issued on Oct 13, 2005. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in South Charleston, WV. The record was last updated on Jul 18, 2013.