NPI 1487643342

Surya N Gupta, MD

Practitioner Neurology with Special Qualifications in Child Neurology Physician South Charleston, WV

Practice location

Address: 4803 Kentucky Street Camc Pediatric Neurology, South Charleston, WV 25309-1547
Phone: (304) 766-7695
Fax: (603) 663-3229
Mailing address: PO Box 1547 Camc Pediatric Neurology, Charleston, WV 25326-1547

Registered specialties (2)

Neurology with Special Qualifications in Child Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0402X Licence 15026 (NH)

Other Psychiatry & Neurology providers in West Virginia →

Pediatric Neurodevelopmental Disabilities Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0008X Licence MD057895L (PA)

Other Pediatrics providers in West Virginia →

Registry record

NPI: 1487643342
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2005
Record last updated: 18 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.