Individual
TARSEM L GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
028410
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000401178D
—
GA
05
—
000401178E
—
GA
05
—
300028737A
—
GA
01
—
592806
BCBS OF GEORGIA
GA
Enumeration date
08/24/2005
Last updated
09/30/2019
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