SHABNUM GUPTA


Address: Sanford Health 801 Broadway North, Fargo, ND 58122-0170
Phone: 7012346076

SHABNUM GUPTA (NPI# 1710472725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710472725
Entity Type Individual
Full Name SHABNUM GUPTA
Credential MD
Practice Address Sanford Health 801 Broadway North
Fargo
ND 58122-0170
Practice Telephone 7012346076
Practice Fax Number 7012347230
Mailing Telephone 7012346076
Mailing Fax Number 7012347230
Enumeration Date 2018-06-22
Last Update Date 2018-06-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine RL15079 ND Allopathic & Osteopathic Physicians

Office Location

Street Address SANFORD HEALTH 801 BROADWAY NORTH
City FARGO
State ND
Zip Code 58122-0170

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104448588 Julia Anne Matera Student in an Organized Health Care Education/Training Program Sanford Health 801 Broadway North, Fargo, ND 58122-0001 2020-05-08
1255953675 Bennen Bierman Student in an Organized Health Care Education/Training Program Sanford Health 801 Broadway North, Fargo, ND 58122-0001 2020-05-07
1437715968 Colin Palmer Murphy Student in an Organized Health Care Education/Training Program Sanford Health 801 Broadway North, Fargo, ND 58122-0170 2019-05-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184142747 Kayla Estepp Internal Medicine 737 Broadway North, Fargo, ND 58122 2017-09-05
1376091793 Paul Mckay Physical Therapist 801 Broadway N., Fargo, ND 58122 2016-09-14
1801290150 Mark Noah Physical Therapist 1720 South University, Fargo, ND 58122 2014-10-15
1245633486 Diana Palm Physical Therapist 1720 University Drive South, Fargo, ND 58122 2014-10-02
1447696406 Mohamad Imam Internal Medicine 801 Broadway North, Fargo, ND 58122 2013-05-17
1457615155 Chantee Seung Gruenhagen Nurse Practitioner 737 North Broadway, Sanford Urology Clinic, Fargo, ND 58122 2012-06-27
1457594079 Manisha Balhara Specialist 2400 32nd Avenue S, Fargo, ND 58122 2009-04-13
1578536728 Shelby A Terstriep Internal Medicine 820 4 Street North, Fargo, NC 58122 2006-02-08
1295229946 Christopher Hinh Student in an Organized Health Care Education/Training Program 801 Broadway North, Fargo, ND 58122 2018-06-17
1558854539 Suchita Kotnala Family Medicine 737 Broadway North, Fargo, ND 58122 2018-06-13
Find all providers in zip 58122

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679068035 Rory Ratzlaff Family Medicine Sanford Health 737 Broadway N, Fargo, ND 58122-0001 2018-06-28
1538661384 Community Uplift Program Family Medicine 417 Main Ave Ste 401, Fargo, ND 58103-1956 2018-03-07
1841576279 Michelle Vonrueden Family Medicine 1018 18th St S, Fargo, ND 58103-2926 2011-10-31
1801174768 Vidya Vijayaraghavan Family Medicine 4689 38th Ave S, Fargo, ND 58104-8506 2011-07-26
1275762924 Sreejith Gopi Family Medicine 4110 51st Avenue South, Fargo, ND 58104 2009-07-02
1356537781 Terry L Wolff Family Medicine 2700 12th Ave Sw, Suite D, Fargo, ND 58103 2007-09-19
1144436338 Daniel Wilfred Herold Family Medicine 225 4th Ave N, Fargo Meps, Fargo, ND 58102-4841 2007-05-15
1679619860 Carl John Fedyszyn, M.d.,p.c. Family Medicine 4550 47th St S Apt 102, Fargo, ND 58104-4360 2007-01-29
1417040189 Michelle M Radke Family Medicine 1711 Gold Drive South Suite 160, Fargo, ND 58103 2006-10-02
1659477149 Independent Family Doctors Family Medicine 1711 Gold Dr S Ste 160, Fargo, ND 58103-6418 2006-09-15
Find all providers in FARGO

Competitor

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City FARGO
Zip Code 58122

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Dataset Information

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.

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