Individual
RISHI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 WHITCHER ST NE, SUITE 3110, MARIETTA, GA 30060-1176
(770) 422-2326
(770) 422-7797
Mailing address
61 WHITCHER ST NE, SUITE 3110, MARIETTA, GA 30060-1176
(770) 422-2326
(770) 422-7797
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
064947
GA
2084V0102X
Vascular Neurology Physician
064947
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202I135254
—
GA
Enumeration date
05/17/2006
Last updated
02/26/2019
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