Jagan Dewan Gupta
Medical Specialty
Professional ID
- NPI: 1134388234
- PECOS ID: 4587807557
- Enrollment ID: I20130823001020
- Credential(MD, DO, DPM):
- Medical School: Tulane University School Of Medicine
- Medical School Graduation Year: 2006
Hospital Service
- Hospital CCN1: 190039
- Business Name (LBN)1: West Jefferson Medical Center
- Hospital CCN2: 190036
- Business Name (LBN)2: Ochsner Medical Center
Medical Practices
- Organization Name: Jefferson Radiology Associates, Inc.
- Group Practice ID assigned by PECOS: 0143289363
- Number of Group Practice member: 9
Location
- Address1: 1101 Medical Ctr Blvd
- Address2:
- City: Marrero
- State: Louisiana
- Zip Code: 70072
- Phone Number: (504)349-1461
Medical Practices
- Organization Name: Advanced Neurodiagnostic Center, Inc
- Group Practice ID assigned by PECOS: 5496737413
- Number of Group Practice member: 2
Location
- Address1: 2909 Kingman St
- Address2:
- City: Metairie
- State: Louisiana
- Zip Code: 70006
- Phone Number: (504)885-3737
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):