Individual
DR. PRAVEEN KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 WEST EDMONSTON DRIVE, #202, ROCKVILLE, MD 20852
(301) 762-0788
(301) 762-3130
Mailing address
50 WEST EDMONSTON DRIVE, #202, ROCKVILLE, MD 20852
(301) 762-0788
(301) 762-3130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0037532
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068171700
—
MD
Enumeration date
10/05/2006
Last updated
09/30/2010
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