Anju Gupta-modak
MD | Pediatric Neonatal-Perinatal Medicine | Female
Anju Gupta-modak, MD is a Brooklyn, New York based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Anju Gupta-modak is
4802 10th Ave, Brooklyn, New York - 11219-2844. She can be contacted on phone at
718-283-8853 and fax number 718-635-7235.
Anju Gupta-modak is a sole proprietor of her business.
NPI number (Unique professional ID) for Anju Gupta-modak is
1891780276 which was assigned by NPPES on 13 Sep, 2005 and it was last updated on 08 Jul, 2007.
Anju Gupta-modak license number is
225285 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in New York.
Anju Gupta-modak is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Anju Gupta-modak basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
|---|
| Provider Name : | Anju Gupta-modak |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Anju Gupta-modak address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4802 10th Ave
Brooklyn, NY, 11219-2844
United States |
|---|
| Phone Number : | 718-283-8853 |
|---|
| Fax Number : | 718-635-7235 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1891780276 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 13 Sep, 2005 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Anju Gupta-modak are as mentioned. Primary taxonomy code for Anju Gupta-modak, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 225285 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Anju Gupta-modak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GA5285 | Other | NY | ATLANTIS HEALTH PLAN |
| P2068431 | Other | NY | OXFORD HEALTH PLANS |
| 0B7762 | Other | NY | EMPIRE BCBS |
| 4C4442 | Other | NY | HEALTH NET |
| 2603107 | Other | NY | GHI |
| 1000030331 | Other | NY | AFFINITY HEALTH PLAN |
| 001131 | Other | NY | HIP |
| 001131-A15 | Other | NY | HEALTH FIRST |
| 26N9651 | Other | NY | NEIGHBORHOOD HEALTH |
| 02109608 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 977 48th St
Brooklyn, NY, 11219-2919
United States |
|---|
| Phone Number : | 718-283-8015 |
|---|
| Fax Number : | 718-635-7235 |
|---|
Business Location:
Patients can refer following map for directions to
Anju Gupta-modak practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.