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NPI Code Detail

MEDICARE: KUNAL GUPTA MD

MEDICARE:   KUNAL  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
1207Q00000XFamily Medicine Physician85075GA

General Provider Information

NPI Number : 1619405933
Entity Type Code : Individual
Provider Name (Legal Business Name) : KUNAL GUPTA MD
Provider Business Mailing Address
First Line : 210 COBB PKWY S STE 100
Second Line :
City : MARIETTA
State : GA
Zip : 30060-6509
Country : US
Telephone Number : 678-695-9577
Fax Number : 770-427-9154
Provider Business Practice Location Address
First Line : 210 COBB PKWY S STE 100
Second Line :
City : MARIETTA
State : GA
Zip : 30060-6509
Country : US
Telephone Number : 678-695-9577
Fax Number : 770-427-9154
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2017
Last Update Date : 08/22/2023

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Directions to “ KUNAL GUPTA MD” Practice Location

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