Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 081829 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 081829 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD450523 | PA |
NPI | 1679773642 |
---|---|
Provider Name | Dr. Shuchita Gupta |
First Address | Augusta, GA 30903-1705 |
Second Address | Augusta, GA 30901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 28/08/2019 |