MINI GUPTA (NPI# 1417919796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417919796 |
| Entity Type | Individual |
| Full Name | MINI GUPTA |
| Credential | MD |
| Practice Address |
1700 Hospital South Dr Suite 304 Austell GA 30106-6810 |
| Mailing Address |
1810 Mulkey Rd Suite103 Austell GA 30106-1151 |
| Practice Telephone | 7707328464 |
| Practice Fax Number | 7707328462 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2016-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 055949 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
055949 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215443999 | Mini Gupta | Physical Therapist | 30459 Sw Rogue Ln Unit 5212, Wilsonville, OR 97070-6686 | 2017-12-18 |
| 1528117389 | Mini Gupta | Family Medicine | 216 Haddon Ave, Suite 100, Haddon Township, NJ 08108-2809 | 2007-01-10 |
| Street Address |
1700 HOSPITAL SOUTH DR SUITE 304 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922299 | Michael Hardee | Internal Medicine | 1700 Hospital South Dr, Suite 409, Austell, GA 30106-6810 | 2005-09-15 |
| 1184284010 | West Cobb Specialty Pharmacy | Pharmacy | 1700 Hospital South Dr, Austell, GA 30106-6810 | 2019-06-13 |
| 1972017374 | Nicole Dubois Witt | Nurse Practitioner | 1700 Hospital South Dr, Austell, GA 30106-6810 | 2017-11-21 |
| 1861843815 | Kendra Chavis | Physician Assistant | 1700 Hospital South Dr, Suite #200, Austell, GA 30106-6810 | 2016-06-30 |
| 1285027649 | Karen Monica Sumner | Nurse Practitioner | 1700 Hospital South Dr, Suite 300, Austell, GA 30106-6810 | 2015-03-10 |
| 1962894576 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1700 Hospital South Dr, Suite 406, Austell, GA 30106-6810 | 2015-02-19 |
| 1790183499 | Yasmeen Girardeau | Nurse Practitioner | 1700 Hospital South Dr, Austell, GA 30106-6810 | 2014-12-11 |
| 1457766875 | Robin Christine Gohacki | Nurse Practitioner | 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | 2014-06-24 |
| 1053740340 | Emily A Goolsby | Advanced Practice Midwife | 1700 Hospital South Dr, Suite 500, Austell, GA 30106 | 2013-11-06 |
| 1487081105 | Michelle Lewis-austin | Nurse Practitioner | 1700 Hospital South Dr, Suite 502, Austell, GA 30106-6810 | 2013-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255527339 | Wahid Yazdanpanah | Internal Medicine | 1660 Mulkey Rd Ste B, Austell, GA 30106-1105 | 2007-09-21 |
| 1629009287 | Linda Turberville-trujillo | Internal Medicine | 1660 Mulkey Rd, Suite B, Austell, GA 30106 | 2006-07-05 |
| 1982831616 | Nnaemezie Emmanuel Odioemene | Internal Medicine | 1660 Mulkey Rd, Ste B, Austell, GA 30106-1105 | 2009-06-21 |
| 1568696870 | Harini Chittineni | Internal Medicine | 1810 Mulkey Rd, #103, Austell, GA 30106-1151 | 2009-05-14 |
| 1740403690 | Peachland Nephrology & Hypertension,pc | Internal Medicine | 1668 Mulkey Rd, Suite G, Austell, GA 30106-1143 | 2007-04-10 |
| 1437210358 | Nega Woldehawariat | Internal Medicine | 1668 Mulkey Rd, Ste G, Austell, GA 30106-1143 | 2006-12-13 |
| 1083649552 | Atlanta Kidney and Hypertension Associates | Internal Medicine | 1810 Mulkey Rd, Suite 103, Austell, GA 30106-1151 | 2006-07-12 |
| 1316978166 | Edgar Wollam | Internal Medicine | 1660 Mulkey Rd, Ste B, Austell, GA 30106 | 2006-07-06 |
| 1932130721 | Uno Barcelli | Internal Medicine | 1660 Mulkey Rd, Suite B, Austell, GA 30106 | 2006-07-06 |
| 1821036278 | Cobb Nephrology Hypertension Associates, PC | Internal Medicine | 3875 Austell Rd, Suite 101, Austell, GA 30106-1153 | 2006-06-04 |
| Find all providers in AUSTELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.