| Sunita Gupta Md Pc | |
|
370 Prospect Pl Alpharetta GA 30005-5467 | |
| (678) 358-9672 | |
| (678) 393-9374 |
| Full Name | Sunita Gupta Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 370 Prospect Pl, Alpharetta, Georgia |
| Authorized Official Name and Position | Sunita Gupta (PSYCHIATRIST) |
| Authorized Official Contact | 6783933374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunita Gupta Md Pc 370 Prospect Pl Alpharetta GA 30005-5467 Ph: (678) 358-9672 | Sunita Gupta Md Pc 370 Prospect Pl Alpharetta GA 30005-5467 Ph: (678) 358-9672 |
| NPI Number | 1366503393 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 04/28/2015 |
| Medicare PECOS PAC ID | 7012936248 |
|---|---|
| Medicare Enrollment ID | O20051117000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366503393 | NPI | - | NPPES |
| 584723830B | Medicaid | GA | |
| 494178 | Other | GA | VALUE OPTION |
| 243941612 | Other | GA | UBH |
| 821048000 | Other | GA | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 049454 (Georgia) | Primary |
| Provider Name | Sunita Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811966831 PECOS PAC ID: 5395715098 Enrollment ID: I20040729000894 |
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