Provider Type Icon

MANMOHAN GUPTA M.D. P.C. NPI 1881960383


NPI Information

NPI: 1881960383
Provider Name: MANMOHAN GUPTA M.D., P.C.
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 11D0264002

Address:
770 PINE ST.
SUITE 440
MACON, GA
ZIP 31201
Phone: (478) 741-4588
Get Directions

MANMOHAN GUPTA M.D., P.C. is a rheumatology internal medicine in Macon, GA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. MANMOHAN GUPTA M.D., P.C. NPI is 1881960383. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

770 PINE ST.
SUITE 440
MACON, GA
ZIP 31201-599
Phone: (478) 741-4588
Fax: (478) 741-4589

The provider's authorized official is Manmohan Gupta .
The authorized official title is Owner and has the following contact phone number (478) 741-4588.

The CLIA number assigned to this NPI record is 11D0264002 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/29/2012 and was last updated on 3/29/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatology023976GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100249796-AMEDICAIDGEORGIA
2040036MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.