Organization
HEALTH FIRST MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKUNMALA GUPTA MD (MD)
(410) 992-7004
Entity
Organization
Contact information
Practice address
4101 BALTIMORE NATIONAL PIKE, MOUNT AIRY, MD 21771-4115
(301) 829-0800
(443) 535-9180
Mailing address
PO BOX 6303, ELLICOTT CITY, MD 21042-0303
(410) 992-7004
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241500300
—
MD
Enumeration date
11/13/2024
Last updated
11/13/2024
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