Individual
ATUL GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
60678923
WA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
60678923
WA
Other
Enumeration date
08/30/2012
Last updated
04/16/2018
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