| Doctor Name: | KRISHANU BAPPA GUPTA |
| NPI Number: | 1003807397 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., PH.D. |
| License Number: | 210605 |
| Business Practice Address: | 525 Broad St Suite 202 Cumberland, RI - 028646919 |
| Business Phone Number: | 4017274600 |
| Business Fax Number: | 4017274690 |
| Mailing Address: | 525 Broad St, Suite 202 CUMBERLAND |
| State: | RI |
| Postal Code: | 028646919 |
| Phone Number: | 4017274600 |
| Fax Number: | 4017274690 |
| NPI Enumeration Date: | 11/04/2005 |
| NPI Last Update Date: | 12/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 210605 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |