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SURYA N GUPTA MD
NPI 1487643342
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in South Charleston, WV

Active since October 13, 2005
4803 KENTUCKY STREET, CAMC PEDIATRIC NEUROLOGY, SOUTH CHARLESTON, WV 25309(304) 766-7695(603) 663-3229 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surya N Gupta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURYA N GUPTA MD (NPI 1487643342) is an individual neurology with special qualifications in child neurology provider in South Charleston, West Virginia, licensed in New Hampshire (15026) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1487643342
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameSURYA N GUPTACredential: MD
Location Address4803 KENTUCKY STREET, CAMC PEDIATRIC NEUROLOGYSouth Charleston, WV 25309-1547
Mailing AddressPo Box 1547, Camc Pediatric NeurologyCharleston, WV 25326-1547 · (304) 388-7183 · Fax (304) 388-7176
Phone(304) 766-7695
Fax(603) 663-3229
Sole ProprietorNo
Enumeration DateOctober 13, 2005
Last NPPES UpdateJuly 18, 2013
✔ NPI 1487643342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in NH · 15026
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.
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X · License MD057895L (PA)
4803 KENTUCKY STREET, South Charleston, WV 25309
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Other Identifiers 3

Medicare UPINH98608
Medicaid0016630190001PA
Medicare ID-Type Unspecified905524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surya Gupta's NPI number?

The NPI number for Surya Gupta is 1487643342. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Surya Gupta located?

Surya Gupta practices at 4803 Kentucky Street Camc Pediatric Neurology, South Charleston, WV 25309. The listed phone number is (304) 766-7695.

What is Surya Gupta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Surya Gupta was last updated on July 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.