Individual
SULABHA GODBOLE GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2910 EAST FRANKLIN BLVD #1, GASTONIA, NC 28056-7225
(704) 648-0460
(855) 446-7146
Mailing address
2910 EAST FRANKLIN BLVD #1, GASTONIA, NC 28056-7225
(704) 648-0460
(855) 446-7146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006-01373
NC
208M00000X
Hospitalist Physician
Primary
2006-01373
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904645
—
NC
05
—
N73006
—
SC
Enumeration date
08/21/2006
Last updated
05/11/2026
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