Gupta, Tarsem L

Gupta, Tarsem L is an individual health care provider with primary practice located at 245 Village Center Pkwy Ste 100 , Stockbridge GA 30281-9096. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Gupta, Tarsem L can be contacted via phone (770) 506-7171.

Contact Information

Primary practice address
245 Village Center Pkwy Ste 100 Stockbridge GA 30281-9096
Phone: (770) 506-7171
Fax: (770) 506-8406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 028410 Georgia

Profile Details

NPI number 1912990011
LBN Legal business name Gupta, Tarsem L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Sep 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912990011 NPPES
Georgia MEDICAID 000401178E
Georgia MEDICAID 300028737A
Georgia Other 592806
Georgia MEDICAID 000401178D

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