Provider Demographics
NPI:1740482710
Name:GUPTA, DEVINDER PAUL (MD)
Entity type:Individual
Prefix:
First Name:DEVINDER
Middle Name:PAUL
Last Name:GUPTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DAVE
Other - Middle Name:
Other - Last Name:GUPTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-7208
Mailing Address - Country:US
Mailing Address - Phone:417-556-2727
Mailing Address - Fax:
Practice Address - Street 1:12400 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4298
Practice Address - Country:US
Practice Address - Phone:469-495-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008009077207R00000X, 208M00000X
TXW0048208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1740482710Medicaid
KSPENDINGMedicaid
OK200622080AMedicaid
KSPENDINGMedicaid
MOMA2082526Medicare PIN