1487651873

Everything you always wanted to know about GUPTA S AJAY M.D. but were afraid to ask.

GUPTA S AJAY M.D.

You can also download the this 1487651873 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
GUPTA S AJAY M.D.
Gender:
Male
Enumeration date:
2005-06-30
Last update date:
2012-12-26
Current as of:
2007-08-28
Is sole proprietor?:
No
Is organization subpart?:
Not Answered
In PECOS?:
Yes
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Identifiers

identifier description issuer state active
4596849 Medicaid none MI 1
130023781 Medicare PIN none IN 1
100258670 Medicaid none IN 1
5506830001 Medicare NSC none IN 1
130023781 Other RR MEDICARE IN 1
668120O Medicare PIN none IN 1
E03900 Medicare UPIN none none 1
0839507 Medicaid none OH 1
5506830003 Medicare NSC none IN 1

Taxonomies

Taxonomy State License Number Primary?
2084N0400X Neurology IN 01037375A

Phone Numbers

Type Number
Mailing Address Telephone Number 2604603100
Practice Location Address Telephone Number 2604603100
Mailing Address Fax Number 2604603130
Practice Location Address Fax Number 2604603130

Addresses

Type Address City State Postal Country
Mailing Address 11104 PARKVIEW CIRCLE DR STE 110 FORT WAYNE IN 46845 IN
Practice Location Address 11104 PARKVIEW CIRCLE DR STE 110 FORT WAYNE IN 46845 IN

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1073561841 NEUROSPINE-PAIN SURGERY CENTER
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1104262211 ALLIED PHYSICIANS, INC.
Organization
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1124297379 ALLIED PHYSICIANS INC
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2622 LAKE AVE IN FORT WAYNE
1134379688 ANDERSON, JANET
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11104 PARKVIEW CIRCLE DR STE 110 IN FORT WAYNE
1184621641 CURFMAN, THOMAS
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1194933465 KNIRK, JESSICA
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1215126958 OVERCASH, SUSAN
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2622 LAKE AVE IN FORT WAYNE
1255322103 ALLIED PHYSICIANS INC., D/B/A
Organization
2622 LAKE AVE IN FORT WAYNE
1376540823 BHAT, MADHAV
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1417907189 MIRANDA, STACY
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1437360732 KHATRI, RAKESH
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1447495296 RICHMOND, ERIN
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1467499780 WILLIAMS, TASHA
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1528298734 GILLIG, CATHERINE
Individual
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1558498105 BORN, JENNIFER
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1609867605 ALLIED PHYSICIANS INC
Organization
11104 PARKVIEW CIRCLE DR STE 110 IN FORT WAYNE
1649419169 JACOBSEN, WALTER
Individual
11104 PARKVIEW CIRCLE DR STE 110 IN FORT WAYNE
1649478744 ALLIED PHYSICIANS INC
Organization
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1669701793 STEMMLER, CHRISTINA
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1780681254 GOFF, FRANCES
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11104 PARKVIEW CIRCLE DR STE 110 IN FORT WAYNE
1831196237 DOZIER, JAMES
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1841297231 CHANG, FEN-LEI
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1841352697 KUEBER, ERICA
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2622 LAKE AVE IN FORT WAYNE
1881691368 KHAN, ATIYA
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1891936712 BAUGHMAN, MELISSA
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1982601787 YOUNG, WILLIAM
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1346247830 OSBORNE, DIANA
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1437156999 DODZIK, PETER
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1457358392 WILLIAMS, RONALD
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1548267743 SHIELDS, KENNETH
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE

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NPI Name Address State City
1003158783 YODER, ALYCE
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1043262447 EBY, SAMUEL
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1043262769 MARTINEZ, MANUEL
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1073515086 MUNIR, IRFAN
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1104262211 ALLIED PHYSICIANS, INC.
Organization
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1144222142 VENKATAKRISHNA, KANAKAPURA
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1154679272 MOHS, KARIN
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1184621641 CURFMAN, THOMAS
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1184907412 GROSJEAN, SHERY
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1194933465 KNIRK, JESSICA
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1316990112 OVERDAHL, MICHAEL
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1346247830 OSBORNE, DIANA
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1376540823 BHAT, MADHAV
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1417907189 MIRANDA, STACY
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1427009653 RAVAL, BADAL
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1437156999 DODZIK, PETER
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1437360732 KHATRI, RAKESH
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1447495296 RICHMOND, ERIN
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1457358392 WILLIAMS, RONALD
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1467454470 RUMANCIK, MARK
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1467499780 WILLIAMS, TASHA
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1528298734 GILLIG, CATHERINE
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1548267743 SHIELDS, KENNETH
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1558498105 BORN, JENNIFER
Individual
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1649478744 ALLIED PHYSICIANS INC
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1669701793 STEMMLER, CHRISTINA
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1679522924 CLARK, DAVID
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1831196237 DOZIER, JAMES
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1831358597 SHUHERK SHAFFER, JENNIFER
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1841297231 CHANG, FEN-LEI
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1881691368 KHAN, ATIYA
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1891936712 BAUGHMAN, MELISSA
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1942482047 PETERSON, ERIC
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE
1982601787 YOUNG, WILLIAM
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE

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NPI Name Address State City Identifier types that matches
1033100995 ALLIED IMAGING
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7956 W JEFFERSON BLVD IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
Identifier: 5506830003 (Medicare NSC)
1093712572 MUNZ, MICHAEL
Individual
3627 UNIVERSITY BLVD S FL JACKSONVILLE Identifier: 5506830001 (Medicare NSC)
Identifier: 5506830003 (Medicare NSC)
1104823590 KACHMANN, RUDY
Individual
7900 W JEFFERSON BLVD STE 201 IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
Identifier: 5506830003 (Medicare NSC)
1184621641 CURFMAN, THOMAS
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
Identifier: 5506830003 (Medicare NSC)
1215126958 OVERCASH, SUSAN
Individual
2622 LAKE AVE IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
Identifier: 5506830003 (Medicare NSC)
1225035421 SPRINGER, KAREN
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7956 W JEFFERSON BLVD IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
Identifier: 5506830003 (Medicare NSC)
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Organization
7956 W JEFFERSON BLVD IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
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Identifier: 5506830003 (Medicare NSC)
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Individual
3909 NEW VISION DR IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
Identifier: 5506830003 (Medicare NSC)
1417907189 MIRANDA, STACY
Individual
11104 PARKVIEW CIRCLE DR IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
Identifier: 5506830003 (Medicare NSC)
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Identifier: 5506830003 (Medicare NSC)
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
Identifier: 5506830003 (Medicare NSC)
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Identifier: 5506830003 (Medicare NSC)
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Identifier: 5506830003 (Medicare NSC)
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Identifier: 5506830003 (Medicare NSC)
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7956 WEST JEFFERSON BLVD IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
Identifier: 5506830003 (Medicare NSC)
1558498105 BORN, JENNIFER
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
Identifier: 5506830003 (Medicare NSC)
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Identifier: 5506830003 (Medicare NSC)
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Identifier: 5506830003 (Medicare NSC)
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11104 PARKVIEW CIRCLE DR STE 110 IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
Identifier: 5506830003 (Medicare NSC)
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Individual
7956 W JEFFERSON BLVD IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
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Identifier: 5506830003 (Medicare NSC)
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7956 W JEFFERSON BLVD IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE Identifier: 5506830001 (Medicare NSC)
Identifier: 5506830003 (Medicare NSC)
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11104 PARKVIEW CIRCLE DR STE 110 IN FORT WAYNE Identifier: 5506830003 (Medicare NSC)
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11104 PARKVIEW CIRCLE DR IN FORT WAYNE Identifier: 5506830003 (Medicare NSC)