Individual provider · Type 1 NPI

Pavan Kumar Gupta, MD

Cardiovascular Disease Physician · O Fallon, IL

NPI number 1861519563 Active

Practice location

Three Saint Elizabeth Blvd Ste 2800
O Fallon, IL 62269-1282

Call (618) 233-6044 Map

Fax (833) 973-4218

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000X4301083827 (MI)
Student in an Organized Health Care Education/Training Program 390200000X4301083827 (MI)
Internal Medicine Physician 207R00000XMD13290 (RI)
Internal Medicine Physician 207R00000X4301083827 (MI)
Cardiovascular Disease Physician Primary 207RC0000X036130576 (IL)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

15 other providers at this address

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About NPI 1861519563

Pavan Kumar Gupta, MD's National Provider Identifier is 1861519563, issued on Mar 26, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in O Fallon, IL. The record was last updated on Dec 21, 2021.