P Praxis·MD
● Active Type 1 · Individual

DR. Mohit K Gupta, M.D.

Radiology·Marietta, GA· NPI 1164777934 · Enumerated 2012 · 13 years on NPI
Gupta is 1 of 103 radiology providers in Marietta and 1 of 1280 in Georgia.
NPI age
13 years
Enumerated 2012-07-18
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-02-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
13 years
↓ 6 yr below median (19 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-07Enumerated in NPPES
2012 2026

Where they practice

Practice location
790 Church St Ne Ste 400
Marietta, GA 30060
📞 7709528899
Mailing address
Po Box 3157
Indianapolis, IN 462063157
📞 7704052976

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2650 Ridge Ave
Evanston, IL 602011718
📞 8475702509
Location 3
676 N Saint Clair St Ste 800
Chicago, IL 606112978
📞 5132896160

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #080469IL license #036142358 taxonomy 2085R0202X

Identifiers

TypeValueNotes
05 (IL) 1164777934
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 68 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new radiology providers have been added in Marietta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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