Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SONU GUPTA, MD
Active Sole ProprietorSONU GUPTA, MD is a Primary Care Clinic healthcare provider located in BRASELTON, Georgia. NPI 1568727220 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · BRASELTON, GA
Registration Details
- NPI Number
- 1568727220
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2012 (14.095293700872 yrs)
- Last Updated
- Feb 6, 2024
- Licenses
-
125060842 (IL)79664 (GA)79664 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1400 RIVER PLBRASELTON, GA, 305175600Browse GA providers · Browse ZIP 30517
- Phone
- 7708488000
- Primary Specialty
-
Primary Care Clinic
261QP2300X
- Additional Specialty
- Hospitalist
- Additional Specialty
- Primary Care Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.