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Surya N Gupta, MD
Neurology with Special Qualifications in Child Neurology Physician in South Charleston, West Virginia
NPI 1487643342

Surya N Gupta is a Neurology with Special Qualifications in Child Neurology Physician based in Charleston, WV and is specialized in Neurology with Special Qualifications in Child Neurology. Surya N Gupta practices in South Charleston, WV and has the professional credentials of MD. The NPI Number for Surya N Gupta is 1487643342 and holds a License No. MD057895L (West Virginia).

The current practice location address for Surya N Gupta is 4803 Kentucky Street, South Charleston, WV and can be reached out via phone at 304-766-7695 and via fax at 603-663-3229. You can also correspond with Surya N Gupta through the mailing address at PO BOX 1547, CHARLESTON, WV - 25326-1547 (mailing address contact number: 304-388-7183).

Location: 4803 Kentucky Street, South Charleston, WV, 25326-1547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487643342
Provider Name
Surya N Gupta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4803 Kentucky Street, South Charleston, WV, 25326-1547
Phone Number
304-766-7695
Fax Number
603-663-3229
Provider Enumeration Date
10/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0016630190001 05 PA
institution
Provider Business Practice Location Address Details
Address
4803 Kentucky Street
City
South Charleston
State
West Virginia
Zip
25309-1547
Phone Number
304-766-7695
Fax Number
603-663-3229
person
Provider Business Mailing Address Details
Address
Po Box 1547
City
Charleston
State
West Virginia
Zip
25326-1547
Phone Number
304-388-7183
Fax Number
304-388-7176
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neurodevelopmental Disabilities
Taxonomy
2080P0008X
License No.
15026 (New Hampshire)
Definition
A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
MD057895L (Pennsylvania)
Definition
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.
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