Gupta, Shivane K

Gupta, Shivane K is an sole proprietor health care provider with primary practice located at 4150 Five Forks Trickum Rd Sw Ste 1 , Lilburn GA 30047-3130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Gupta, Shivane K can be contacted via phone (770) 717-7225.

Contact Information

Primary practice address
4150 Five Forks Trickum Rd Sw Ste 1 Lilburn GA 30047-3130
Phone: (770) 717-7225
Fax: (770) 717-7228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 078309 Georgia

Profile Details

NPI number 1295046399
LBN Legal business name Gupta, Shivane K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2010
Last updated Jul 6th, 2022 - about 3 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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