Individual
ANUPAM GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 GOODELL ST STE 304, BUFFALO, NY 14203-1243
(716) 645-9700
Mailing address
220 PONCE DE LEON PL UNIT 566, DECATUR, GA 30030-3281
(229) 560-4285
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102208381
VA
207P00000X
Emergency Medicine Physician
Primary
104585
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2021
Last updated
09/08/2025
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