Krishan L Gupta, MD
Family Medicine, Geriatric Medicine in Temple, TX. Individual provider (NPI-1).
NPI number1790797058
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1790797058
- Entity type
- Individual (NPI-1)
- Name
- Krishan L Gupta
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | 21545 | NE | Yes |
| 207Q00000X | Family Medicine | MD25551 | DC | |
| 207QG0300X | Family Medicine, Geriatric Medicine | MD00010849 | WA |
Practice location
1901 S 1st StTemple, TX 76504-7451
Phone 254-778-4811 · Fax 254-743-0135
Mailing address
4802 Ascot PkwyTemple, TX 76502-7101
Phone 254-778-3338 · Fax 254-778-3338
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