Individual
ATEFEH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4004 DUPONT CIRCLE, STE 230, LOUISVILLE, KY 40207
(502) 893-1333
(502) 899-9576
Mailing address
6305 INNISBROOK DR, PROSPECT, KY 40059
(502) 228-9660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
37643
KY
Other
Enumeration date
05/12/2006
Last updated
08/24/2011
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