Individual
DR. SUNITA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
370 PROSPECT PL, GEORGETOWN OFFICE PARK, ALPHARETTA, GA 30005-5467
(678) 393-3374
(678) 393-9374
Mailing address
370 PROSPECT PL, ALPHARETTA, GA 30005-5467
(678) 393-3374
(678) 393-9374
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
049454
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
584723830A
—
GA
05
—
584723830AB
—
GA
01
—
7586528
AETNA
—
Enumeration date
03/14/2006
Last updated
04/28/2015
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