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AKSHAY K. GUPTA, M.D., CHARTERED

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Company Details

Name: AKSHAY K. GUPTA, M.D., CHARTERED
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 10 Sep 2015 (10 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 622751
Place of Formation: IDAHO
File Number: 622751
ZIP code: 83702
County: Ada County
Mailing Address: EDDY MCLANE 425 W BANNOCK ST BOISE, ID 83702-6035

Agent

Name Role Address
AKSHAY K GUPTA MD Agent 425 W BANNOCK ST, BOISE, ID 83702

President

Name Role Address Appointed On
Akshay Gupta President 425 W BANNOCK ST, BOISE, ID 83702 2020-09-03

National Provider Identifier

NPI Number:
1194198333

Authorized Person:

Name:
AKSHAY K GUPTA
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
2083427042
Fax:
2088871682

Filing

Filing Name Filing Number Filing date
Annual Report 0005877743 2024-09-03
Annual Report 0005398940 2023-09-12
Annual Report 0004884342 2022-09-06
Annual Report 0004392788 2021-08-25
Annual Report 0003995620 2020-09-03

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Date of last update: 16 May 2025

Sources: Idaho Secretary of State