Individual
SUJOY GULATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9175 TUCKERBROOK LN, ALPHARETTA, GA 30022-6170
(678) 427-0997
Mailing address
9175 TUCKERBROOK LN, ALPHARETTA, GA 30022-6170
(678) 427-0997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01061873A
IN
207P00000X
Emergency Medicine Physician
Primary
62043
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200884020
—
IN
05
—
201847501
—
TX
05
—
201847502
—
TX
05
—
409444037A
—
GA
01
—
8CA762
BCBSTX THRU SAEMA
TX
01
—
GRP4155
MEDICARE GROUP NUMBER
GA
01
—
P00744177
RAILROAD THRU AEMA
TX
Enumeration date
06/06/2007
Last updated
09/22/2015
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