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Individual

SAURABH GULATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4477 W VILLAGE PKWY, ELLENWOOD, GA 30294-2869
(440) 366-9311
(404) 366-1250
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81804
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
81804
GA

Other

Enumeration date
04/26/2011
Last updated
07/12/2021
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