Organization
TARSEM L. GUPTA, MD, PC
Active
Other names
ATLANTA PULMONARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIRAN GUPTA (OFFICE MANAGER)
(770) 506-7171
Entity
Organization
Contact information
Practice address
830 EAGLES LANDING PKWY, SUITE 101, STOCKBRIDGE, GA 30281-7384
(770) 506-7171
(770) 506-8406
Mailing address
830 EAGLES LANDING PKWY, SUITE 101, STOCKBRIDGE, GA 30281-7384
(770) 506-7171
(770) 506-8406
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
028410
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000401178D
—
GA
05
—
000401178E
—
GA
05
—
01000147
—
GA
05
—
297160
—
GA
05
—
300028737A
—
GA
01
—
592806
BCBS OF GEORGIA
GA
Enumeration date
12/06/2006
Last updated
04/30/2008
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