Gupta, Ashwini K.
Gupta, Ashwini K. is an individual health care provider with primary practice located at 405 Arrowhead Blvd , Jonesboro GA 30236-1254. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gupta, Ashwini K. can be contacted via phone (770) 478-9877.Contact Information
Primary practice address
405 Arrowhead Blvd
Jonesboro GA 30236-1254
Phone: (770) 478-9877
Fax: (770) 478-2908
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 025981 | Georgia |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 025981 | Georgia |
Profile Details
NPI number | 1467443218 |
---|---|
LBN Legal business name | Gupta, Ashwini K. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 1st, 2005 |
Last updated | Dec 11th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467443218 | NPPES |
Georgia | MEDICAID | 00307744E | |
Georgia | Other | 050030319 |
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