Individual
DR. AKSHAY GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 JODECO ROAD, SUITE A, MCDONOUGH, GA 30253
(770) 692-4000
(770) 474-8510
Mailing address
3333 JODECO ROAD, SUITE A, MCDONOUGH, GA 30253
(770) 692-4000
(770) 474-8510
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-111418
IL
207RC0000X
Cardiovascular Disease Physician
060589
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
036-111418
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
060589
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689144102A
—
GA
Enumeration date
01/09/2008
Last updated
02/23/2024
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