Madhu Gupta | Akron, OH • PECOS Search

Madhu Gupta

Audiologist

Speech, Language and Hearing Service Providers

3577 N Shore Dr, Akron, OH 44333-8331

PECOS Enrollment

Based on the most recent information from CMS, provider Madhu Gupta does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1144400516
Provider Type
Individual
Full Name
Gupta, Madhu
Title
Mrs.
Credential
CCC-A

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/13/2007
Last Updated
11/13/2007

Contact Information

Practice Location

3577 N Shore Dr, Akron, OH 44333-8331

Unlisted Fax

Mailing Location

3577 N Shore Dr, Akron, OH 44333-8331

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 231H00000X Primary	Description Audiologist Speech, Language and Hearing Service Providers	License A 01014 Ohio