Dr. Nitin Gupta
Internist Gastroenterologist
980 Johnson Fy Rd Ne Ste 820
Atlanta
, Georgia 30342-1608
Dr. Nitin Gupta
Internist Gastroenterologist
980 Johnson Fy Rd Ne Ste 820
Atlanta
, Georgia 30342-1608
(678) 388-1759
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About
Features
Specialties
- Internist
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Nitin Gupta
- 1001 Summit Blvd Ste B
- Brookhaven, GA
- Zip : 30319-6408
- Fax : (678) 388-1759
- Phone : (770) 989-1668
Second Address
- Dr. Nitin Gupta
- 980 Johnson Fy Rd Ne Ste 820
- Atlanta, GA
- Zip : 30342-1608
- Fax : (404) 252-5839
- Phone : (404) 252-9307
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 22586 | MS |
| N | 111NI0900X | Internist | 22586 | MS |
| Y | 207RG0100X | Gastroenterologist | 078939 | GA |
| N | 207RG0100X | Gastroenterologist | 22586 | MS |
| N | 207RG0100X | Gastroenterologist | 249386 | MA |
National Provider Identifier
| NPI | 1013113364 |
|---|---|
| Provider Name | Dr. Nitin Gupta |
| First Address | Brookhaven, GA 30319-6408 |
| Second Address | Atlanta, GA 30342-1608 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2007 |
| Last Update Date | 03/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003203822A | (05) | GA |
| 02959257 | (05) | MS |
| P01402449 | RR MEDICARE (01) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.