| Doctor Name: | DR. RUPAL PATEL GUPTA |
| NPI Number: | 1003810623 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | POD000958 |
| Business Practice Address: | 4355 Johns Creek Pkwy Suite 520 Suwanee, GA - 300246048 |
| Business Phone Number: | 7704180456 |
| Business Fax Number: | 7704181603 |
| Mailing Address: | 3995 Montglenn Trce, CUMMING |
| State: | GA |
| Postal Code: | 300417373 |
| Phone Number: | 7704180456 |
| Fax Number: | 7704181603 |
| NPI Enumeration Date: | 06/10/2005 |
| NPI Last Update Date: | 12/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | POD000958 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |