Individual
DR. RUPAL PATEL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4355 JOHNS CREEK PKWY, SUITE 520, SUWANEE, GA 30024-6048
(770) 418-0456
(770) 418-1603
Mailing address
3995 MONTGLENN TRCE, CUMMING, GA 30041-7373
(770) 418-0456
(770) 418-1603
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000958
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226592810
UHC
GA
01
—
260427
COVENTRY
GA
01
—
52026903
BCBS
GA
01
—
5363600001
CIGNA DME
GA
01
—
7305891
CIGNA
GA
01
—
7540578
AETNA
GA
05
—
948040303D
—
GA
Enumeration date
06/10/2005
Last updated
12/30/2010
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