Individual
PALLAVI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3870 MEDICAL PARK DR STE 110, AUSTELL, GA 30106-1110
(404) 920-4972
Mailing address
3390 PEACHTREE RD NE STE 1500, ATLANTA, GA 30326-2822
(404) 920-4950
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
76349
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
076349
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003178438M
—
GA
05
—
003178438W
—
GA
Enumeration date
05/26/2011
Last updated
07/24/2026
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