Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 81804 | GA |
Y | 111NI0900X | Internist | 81804 | GA |
N | 207RG0300X | Geriatric Medicine | 81804 | GA |
NPI | 1144511197 |
---|---|
Provider Name | Saurabh Gulati |
First Address | Atlanta, GA 30368-2321 |
Second Address | Ellenwood, GA 30294-2869 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2011 |
Last Update Date | 12/07/2021 |