| Dr Vedant Gupta, DO | |
|
1405 Clifton Rd Ne # Tower2, Atlanta, GA 30322-1060 | |
| (706) 414-7198 | |
| Not Available |
| Full Name | Dr Vedant Gupta |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1405 Clifton Rd Ne # Tower2, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679967780 | NPI | - | NPPES |
| 572001 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 34.012931 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 007957 (Arizona) | Secondary |
| 208M00000X | Hospitalist | 943311 (Georgia) | Primary |
| Entity Name | Phoenix Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vedant Gupta, DO 1405 Clifton Rd Ne # Tower2, Atlanta, GA 30322-1060 Ph: (706) 414-7198 | Dr Vedant Gupta, DO 1405 Clifton Rd Ne # Tower2, Atlanta, GA 30322-1060 Ph: (706) 414-7198 |
Dr. Tianna E. Johnson, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 35 Collier Rd Nw, Suite 635, Atlanta, GA 30309 Phone: 404-367-3014 Fax: 404-367-3558 | |
Dr. Maha Osman Sulieman, MBBS Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1364 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-712-2000 | |
Sarah Latif, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 35 Collier Rd Nw Ste 635, Atlanta, GA 30309 Phone: 404-367-3014 | |
Haritha R Challa, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6135 Barfield Rd Ste 200, Atlanta, GA 30328 Phone: 404-256-8500 Fax: 404-256-8506 | |
Dr. Tait Thomas Jones, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1362 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-727-5658 | |
Candice Marie Delk, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 35 Collier Rd Nw, Suite 635, Atlanta, GA 30309 Phone: 404-367-3014 Fax: 404-367-3558 | |
Thara Mrithula Vidyasagaran, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1364 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-712-7100 |