Dr. Shivane K Gupta, MD
Dr. Shivane K Gupta, MD is an Oral & Maxillofacial Surgery (D.M.D.) in Lilburn, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2010
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4150 Five Forks Trickum Rd SW Ste 1Lilburn, GA 30047-3130
Phone: (770) 717-7225
Fax: (770) 717-7228
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X · Licence 078309 (GA) |
|---|
Record details
| NPI number | 1295046399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | June 24, 2010 |
| Last updated in NPPES | July 6, 2022 |
| Certification date | July 6, 2022 |