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Individual

DR. VEDANT GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
1405 CLIFTON RD NE # TOWER2, ATLANTA, GA 30322-1060
(706) 414-7198
Mailing address
1405 CLIFTON RD NE # TOWER2, ATLANTA, GA 30322-1060
(706) 414-7198

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34.012931
OH
208M00000X
Hospitalist Physician
007957
AZ
208M00000X
Hospitalist Physician
Primary
943311
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
572001
AZ
Enumeration date
03/26/2015
Last updated
04/07/2023
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