OrganizationSanjiv Gupta M.D. P.S.C.(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address101 Ashland Dr, Ashland, KY 41101-7001(606) 324-1996PECOS EnrollmentBased on the most recent information from CMS, provider Sanjiv Gupta M.D. P.S.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1396911327Provider TypeOrganizationFull NameSanjiv Gupta M.D. P.S.C.Other Name<Unavail>SubpartNoEnumeration Date4/30/2008Last Updated4/30/2008Contact InformationPractice LocationPractice Address101 Ashland Dr, Ashland, KY 41101-7001Phone(606) 324-1996FaxUnlisted FaxMailing LocationMailing Address101 Ashland Dr, Ashland, KY 41101-7001Phone(606) 324-1996FaxUnlisted FaxAuthorized OfficialNameGupta, Sanjiv (M.D.)Phone(606) 324-1996Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer