Individual
SAMIR K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010
(301) 946-5100
(301) 929-0348
Mailing address
11510 GEORGIA AVE, SUITE 206, WHEATON, MD 20902
(301) 946-5100
(301) 929-0348
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD22123
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075
CAREFIRST BCBS
DC
01
—
200113
KAISER
DC
01
—
2495270
AETNA HMO
DC
01
—
441031
ANTHEM BCBS
VA
01
—
4682356004
CIGNA HMO
DC
01
—
501323
NCPPO
DC
01
—
5329472
AETNA NON HMO
DC
05
—
5704952
—
VA
Enumeration date
08/24/2006
Last updated
07/09/2007
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