Individual
DR. DIVYA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30332-0001
(404) 727-3330
Mailing address
410 CANDLER PARK DR NE, #F4, ATLANTA, GA 30307-2142
(404) 221-1173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59652
GA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
059652
GA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
59652
GA
207RC0000X
Cardiovascular Disease Physician
059652
GA
Other
Enumeration date
06/11/2007
Last updated
08/28/2023
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