MEDICARE: ANUJ GUPTA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	051656	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0486290001	OTHER		DME

General Provider Information

NPI Number	:	1922000991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANUJ GUPTA MD

Provider Business Mailing Address
First Line	:	2001 PEACHTREE RD NE
Second Line	:	SUITE 705
City	:	ATLANTA
State	:	GA
Zip	:	30309-1476
Country	:	US
Telephone Number	:	404-355-0743
Fax Number	:	404-355-2136

Provider Business Practice Location Address
First Line	:	5505 PEACHTREE DUNWOODY RD NE
Second Line	:	STE 600
City	:	ATLANTA
State	:	GA
Zip	:	30342-1705
Country	:	US
Telephone Number	:	404-355-0743
Fax Number	:	404-943-0641

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	08/01/2008

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Directions to “ ANUJ GUPTA MD” Practice Location

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