Individual
RACHNA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
635 ALEXIAN WAY, SIGNAL MOUNTAIN, TN 37377-1958
(423) 886-0338
Mailing address
PO BOX 21489, CHATTANOOGA, TN 37424-0489
(309) 826-3774
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
691
TN
213E00000X
Podiatrist
POD001041
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
691
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001041
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3353754
—
TN
Enumeration date
10/22/2008
Last updated
01/30/2019
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