# SANDHYA GUPTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952957052
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 9409 | GA | — |
| 363A00000X | Physician Assistant | 9409 | GA | Yes |

## Other

- **Enumeration date:** 08/14/2019
- **Last updated:** 03/12/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1160403 | NCCPA | GA |
| 01 | — | 9409 | GEORGIA MEDICAL COMPOSITE BOARD | GA |