IndividualActive
Manish Gupta, DO
NPI 1124005863 · Plastic and Reconstructive Surgery Physician · Oregon, OH
Provider details
- NPI number
- 1124005863
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 35-07-6763-G (OH)
Practice location
1050 Isaac Streets Dr
Suite 136
Oregon, OH 43616-3291
Phone: (419) 696-5656
Fax: (419) 844-8784
Mailing address
1050 Isaac Streets Dr
Oregon, OH 43616-3291
Registry dates
- Enumerated
- 2005-12-23
- Last updated
- 2015-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.