Organization
RAMIA GUPTA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMIA GUPTA MD (OWNWER)
(703) 470-5844
Entity
Organization
Contact information
Practice address
411 1/2 N WASHINGTON ST, ALEXANDRIA, VA 22314-2311
(703) 470-5844
Mailing address
5927 WILTON HILL TER, ALEXANDRIA, VA 22310-2336
(703) 470-5844
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
0101249965
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD035166
DC MEDICAL LICENSE
DC
Enumeration date
02/02/2012
Last updated
02/02/2012
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