Individual
DR. JYOTI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-2337
(347) 497-1514
Mailing address
297 E PACES FERRY RD NE UNIT N912, ATLANTA, GA 30305-2315
(718) 539-4227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
078630
GA
208M00000X
Hospitalist Physician
Primary
078630
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2014
Last updated
10/05/2017
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