Individual
DR. RENUKA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7215 HANOVER PKWY STE D, GREENBELT, MD 20770-3626
(301) 345-7885
(301) 345-7422
Mailing address
7215 HANOVER PKWY STE D, GREENBELT, MD 20770-3626
(301) 345-7885
(301) 345-7422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9348
DC
207R00000X
Internal Medicine Physician
Primary
D20727
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
546771300
—
MD
Enumeration date
03/07/2006
Last updated
07/07/2011
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