Individual
DR. ANUJ GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-7877
(410) 328-2255
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-7877
(410) 328-2255
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
D67944
MD
207RI0011X
Interventional Cardiology Physician
Primary
D67944
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033323399
—
MT
05
—
415359600
—
MD
01
—
936790-01
CAREFIRST BC/BS
MD
01
—
S062-0336
CAREFIRST BC /BS REGIONAL
MD
Enumeration date
05/09/2007
Last updated
02/27/2025
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