Organization
SURESH C GUPTA MD PA
Active
Organization
SURESH C GUPTA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH C GUPTA MD (PHYSICIAN/PRESIDENT)
(301) 864-1133
Entity
Organization
Contact information
Practice address
11119 ROCKVILLE PIKE STE 105, ROCKVILLE, MD 20852-3143
(301) 816-2830
(301) 816-3236
Mailing address
3503 PERRY ST, MOUNT RAINIER, MD 20712-2141
(301) 864-1133
(301) 864-2155
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D14876
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017201400
—
MD
Enumeration date
09/13/2005
Last updated
07/21/2022
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