Provider Demographics
NPI:1396946588
Name:SETHI, REEMA GUPTA (MD)
Entity type:Individual
Prefix:DR
First Name:REEMA
Middle Name:GUPTA
Last Name:SETHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:682 LOCKTON PL
Mailing Address - Street 2:BUILDING 101-1740
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-5042
Mailing Address - Country:US
Mailing Address - Phone:248-842-0906
Mailing Address - Fax:
Practice Address - Street 1:682 LOCKTON PL
Practice Address - Street 2:BUILDING 101-1740
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-5042
Practice Address - Country:US
Practice Address - Phone:248-842-0906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036117594207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine