Look up the most recent NPI and PECOS records

Rajat Gupta

Internal Medicine

Allopathic & Osteopathic Physicians

743 Spring St NE, Gainesville, GA 30501-3899

PECOS Enrollment

Based on the most recent information from CMS, provider Rajat Gupta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1245074137
Provider Type
Individual
Full Name
Gupta, Rajat
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/24/2024
Last Updated
6/24/2024

Contact Information

Practice Location

743 Spring St NE, Gainesville, GA 30501-3899

(770) 219-9000

Unlisted Fax

Mailing Location

743 Spring St NE, Gainesville, GA 30501-3899

(770) 219-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 16398 Georgia

Rajat Gupta

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Patel, Pratikkumar

Chenard, Paul H

Oberman, Robert

Rabbanifard, Parissa

Edward I Galaid, Md, Llc

Burns, William Brantley

Sulove, Saksham

Yakana Beligue, Christelle Anais

Patel, Birju B.

Gomez, Richard J