Most Relevant Information
Provider Data
| NPI Number: | 1003810623 |
| Provider Name: | RUPAL PATEL GUPTA DPM |
| Entity Type: | Individual |
| Taxonomy Code: | 213ES0103X |
| Specialty: | Podiatrist |
| License Number: | POD000958 |
Most Important Dates
| Enumeration Date: | 06/10/2005 |
| Last Updated: | 12/30/2010 |
Provider Practice Location
4355 JOHNS CREEK PKWY
SUITE 520
SUWANEE
GA
300246048
Practice Location Phone/Fax
| Phone: | 7704180456 |
| Fax: | 7704181603 |
Provider Mailing Location
3995 MONTGLENN TRCE
CUMMING
GA
300417373
Provider Mailing Phone/Fax
| Phone: | 7704180456 |
| Fax: | 7704181603 |
Suggested EMR
Podiatry EMR