IndividualActive
Animesh Gupta
NPI 1801319330 · Neurology Physician · Boise, ID
Provider details
- NPI number
- 1801319330
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- M-16817 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-7335
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2017-07-17
- Last updated
- 2023-07-06
- Certified
- 2023-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.