IndividualActive
Anjan Gupta, MD
NPI 1780653154 · Interventional Cardiology Physician · Ravenna, OH
Provider details
- NPI number
- 1780653154
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 37401 (WI)
Practice location
6847 N Chestnut St Ste 100
Ravenna, OH 44266-3929
Phone: (330) 297-6110
Fax: (330) 296-0592
Mailing address
Po Box 2040
Milwaukee, WI 53201-2040
Registry dates
- Enumerated
- 2006-03-16
- Last updated
- 2020-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.