Individual
DAVE RAJ GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.H
Contact information
Practice address
631 PROFESSIONAL DR STE 450, LAWRENCEVILLE, GA 30046-3370
(770) 963-8030
(770) 339-9577
Mailing address
631 PROFESSIONAL DR STE 450, LAWRENCEVILLE, GA 30046-3370
(770) 963-8030
(770) 339-9577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
79650
GA
207RH0003X
Hematology & Oncology Physician
Primary
79650
GA
Other
Enumeration date
04/02/2015
Last updated
01/06/2023
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