Female

Ekta Gupta MD

Diagnostic Radiology Physician in Atlanta, GA(View on Map)

Full Name

Ekta Gupta MD

NPI Number

1134390461

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/14/2008

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Florida
Georgia
New Jersey
New York
North Carolina
Pennsylvania

License Number

ME105327
062993
25MA08644100
234022
2009-01525
MD433953

Contact
Information

Purpose

Mailing
Location

Address

1365C CLIFTON RD NE
1365C CLIFTON RD NE

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30322-7148
30322-7148

Country

US
US

Telephone Number

(404) 778-4446
(404) 778-4446

Identifiers

Identifier

1134390461
9229455
1134390461
1596314
31350051
6147458

Identifier State

Unknown
Unknown
Unknown
Unknown
Unknown
Unknown

Identifier Issuer

BLUE CHOICE HMO/PPO
ATENA PPO
AMERIGROUP PROVIDER, PEACHSTATE NO., WELLCARE PROVIDER
CIGNA HMO/PPO
UHC
AETNA HMO

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/26/2010

Provider Address

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