Most Relevant Information
Provider Data
| NPI Number: | 1003565631 |
| Provider Name: | SHRUTI GUPTA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2022 |
| Last Updated: | 03/21/2022 |
Provider Practice Location
49 JESSE HILL JR DR SE
ATLANTA
GA
303033049
Practice Location Phone/Fax
| Phone: | 4047787777 |
| Fax: |
Provider Mailing Location
49 JESSE HILL JR DR SE
ATLANTA
GA
303033049
Provider Mailing Phone/Fax
| Phone: | 4047787777 |
| Fax: |