Dr Mohit K Gupta, MD | |
790 Church St Ne Ste 400, Marietta, GA 30060 | |
(770) 952-8899 | |
Not Available |
Full Name | Dr Mohit K Gupta |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 12 Years |
Location | 790 Church St Ne Ste 400, Marietta, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164777934 | NPI | - | NPPES |
1164777934 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036142358 (Illinois) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 080469 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Wellstar Cobb Hospital | Austell, GA | Hospital |
Wellstar Paulding Hospital | Hiram, GA | Hospital |
Wellstar Douglas Hospital | Douglasville, GA | Hospital |
Wellstar North Fulton Hospital | Roswell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pro Radiology, Llc | 1052696432 | 69 |
M And B Imaging, Pc | 1557623782 | 59 |
Quantum Radiology Pc | 4385543230 | 94 |
Entity Name | Quantum Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366495988 PECOS PAC ID: 4385543230 Enrollment ID: O20040108000728 |
Entity Name | Pro Radiology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164966461 PECOS PAC ID: 1052696432 Enrollment ID: O20170327002470 |
Entity Name | M & B Imaging, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932624723 PECOS PAC ID: 1557623782 Enrollment ID: O20180327002648 |
Entity Name | Synergy Radiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558886341 PECOS PAC ID: 2668727744 Enrollment ID: O20180613001114 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohit K Gupta, MD Po Box 3157, Indianapolis, IN 46206-3157 Ph: (770) 405-2976 | Dr Mohit K Gupta, MD 790 Church St Ne Ste 400, Marietta, GA 30060 Ph: (770) 952-8899 |
Dr. Chris Chan Moo Sung, Radiology Medicare: Accepting Medicare Assignments Practice Location: 790 Church St Ne Ste 400, Marietta, GA 30060 Phone: 770-405-2976 | |
Dr. Thomas Patrick Murphy, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 790 Church St Ne Ste 400, Marietta, GA 30060 Phone: 770-405-2976 | |
Nancy Chioma Okechukwu, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 790 Church St Ne Ste 400, Marietta, GA 30060 Phone: 678-239-0420 | |
James E Robertson, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 790 Church St Ne, Ste 400, Marietta, GA 30060 Phone: 770-952-8899 | |
Thomas W Hinz, MD Radiology Medicare: Medicare Enrolled Practice Location: 790 Church St Ne, Ste 400, Marietta, GA 30060 Phone: 770-952-8899 | |
Dr. Joseph H Moyers, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 790 Church St Ne, Ste 400, Marietta, GA 30060 Phone: 770-952-8899 | |
Dr. Elaine Grace Khatod, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 790 Church St Ne Ste 400, Marietta, GA 30060 Phone: 770-405-2976 |