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
Fax: (770) 478-2908
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467443218 NPPES
Georgia MEDICAID 00307744E
Georgia Other 050030319

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