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Organization
SURESH K GUPTA M.D. P.A.
Active
Organization
SURESH K GUPTA M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH K GUPTA M.D. (PRESIDENT)
(301) 681-5922
Entity
Organization
Contact information
Practice address
9801 GEORGIA AVE, SUITE 220, SILVER SPRING, MD 20902-5276
(301) 681-5922
(301) 681-6463
Mailing address
9801 GEORGIA AVE, SUITE 220, SILVER SPRING, MD 20902-5276
(301) 681-5922
(301) 681-6463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D32332
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431431001
MARYLAND MEDICAID
MD
01
—
GU419081
HIGHMARK MEDICARE SERVICES
MD
Enumeration date
01/29/2010
Last updated
01/29/2010
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