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Individual

EKTA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1365C CLIFTON RD NE, BLDG C, SUITE C 11004, ATLANTA, GA 30322-7148
(404) 778-4446
Mailing address
1365C CLIFTON RD NE, BLDG C, SUITE C 11004, ATLANTA, GA 30322-7148
(404) 778-4446

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
062993
GA
2085R0202X
Diagnostic Radiology Physician
2009-01525
NC
2085R0202X
Diagnostic Radiology Physician
Primary
234022
NY
2085R0202X
Diagnostic Radiology Physician
25MA08644100
NJ
2085R0202X
Diagnostic Radiology Physician
MD433953
PA
2085R0202X
Diagnostic Radiology Physician
ME105327
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1134390461
BLUE CHOICE HMO/PPO
01
1596314
CIGNA HMO/PPO
01
31350051
UHC
01
6147458
AETNA HMO
01
9229455
ATENA PPO
Enumeration date
03/14/2008
Last updated
05/26/2010
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