Individual
DR. SHUCHITA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901
(706) 774-7855
(706) 774-8620
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7855
(706) 774-8620
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
081829
GA
207RC0000X
Cardiovascular Disease Physician
081829
GA
207RC0000X
Cardiovascular Disease Physician
MD450523
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT189781
PA
Other
Enumeration date
07/18/2007
Last updated
03/21/2022
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