ISHAAN GUPTA (NPI# 1023458098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023458098 |
| Entity Type | Individual |
| Full Name | ISHAAN GUPTA |
| Credential | M.D. |
| Practice Address |
5601 Loch Raven Blvd Rmb 502 Baltimore MD 21239-2945 |
| Practice Telephone | 4434444863 |
| Practice Fax Number | 4434444997 |
| Mailing Telephone | 4434444863 |
| Mailing Fax Number | 4434444997 |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2017-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D81650 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
5601 LOCH RAVEN BLVD RMB 502 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21239-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940588 | Paul Byron Fowler | Specialist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2005-05-23 |
| 1992328017 | Kaitlin Lee | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-05-22 |
| 1023646692 | Akiko Rockers | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-30 |
| 1578199519 | Erica Wilson | Pharmacist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-22 |
| 1154952497 | Kimberly Jo Jenko | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-27 |
| 1679103576 | Nerland Dimanche | Registered Nurse | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-20 |
| 1063058782 | Simcha Gratz | Nurse Practitioner | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-11-19 |
| 1548817737 | Christopher Burgess | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-08-22 |
| 1114571809 | Lauren Delmonico | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-30 |
| 1750943411 | Sana Tanveer Ahmed | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809273 | Books of Color, LLC | Student in an Organized Health Care Education/Training Program | 1222 Walker Ave, Baltimore, MD 21239 | 2018-11-07 |
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1164940656 | Tarnisha Fitzgerald | Nurse Practitioner | 1601 East Belvedere Avenue, Baltimore, MD 21239 | 2017-09-05 |
| 1083153803 | J.pope & Associates, LLC | Counselor | 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 | 2017-02-13 |
| 1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
| 1730597766 | Ramona Taylor-knox | Counselor | 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 | 2014-07-22 |
| 1013259142 | Innovative Healing Solutions,llc | Social Worker | 1302 Silverthorne Rd, Baltimore, MD 21239 | 2013-03-27 |
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| 1164713350 | Vanessa G Brown | Pharmacist | 5618 The Alameda, Baltimore, MD 21239 | 2011-04-22 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184272296 | Federal Hill Pediatric Center | Internal Medicine | 724 Light St Ste A, Baltimore, MD 21230-3813 | 2019-09-02 |
| 1861051096 | Intermed Associates Ipa, LLC | Internal Medicine | 9106 Philadelphia Rd Ste 214, Baltimore, MD 21237-4333 | 2019-06-11 |
| 1720540925 | Johns Hopkins Community Physicians | Internal Medicine | 5210 Eastern Ave Ste 127, Baltimore, MD 21224-2719 | 2019-04-05 |
| 1013488188 | Atlantic Medical Associates, LLC | Internal Medicine | 6717 Park Heights Ave Lowr Level, Baltimore, MD 21215-2443 | 2018-12-16 |
| 1700386109 | Burke Medical, P.C. | Internal Medicine | 8 Market Pl Ste 300, Baltimore, MD 21202-4113 | 2018-02-13 |
| 1538695598 | Hisham Ahmed Farhan | Internal Medicine | 827 Linden Ave # B-2043, Baltimore, MD 21201-4606 | 2017-05-11 |
| 1538692652 | Thi Khuc | Internal Medicine | 22 S Greene St # N3w156, Baltimore, MD 21201-1544 | 2017-04-05 |
| 1053868646 | Apurva Sharma | Internal Medicine | 600 N Wolfe St Blalock 545, Baltimore, MD 21287-1766 | 2016-09-01 |
| 1053761031 | Seyed Mohammad Hodanazari | Internal Medicine | 727 W 40th St # A215, Baltimore, MD 21211-2105 | 2016-06-21 |
| 1568824522 | Alaina Christine Chodoff | Internal Medicine | 2024 E Monument St Fl 2, Baltimore, MD 21287-0028 | 2016-03-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.