Individual
RAHUL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 736-2247
Mailing address
7253 AMBASSADOR RD, BALTIMORE, MD 21244-2710
(443) 436-1151
(443) 436-1256
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
61747
GA
2085R0202X
Diagnostic Radiology Physician
D65508
MD
2085R0202X
Diagnostic Radiology Physician
M4129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411817100
—
MD
Enumeration date
05/17/2006
Last updated
06/10/2026
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