Individual
NEERAJ GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9380F FORESTWOOD LANE, MANASSAS, VA 20110
(903) 330-3277
(703) 368-7257
Mailing address
9380F FORESTWOOD LANE, MANASSAS, VA 20110
(903) 330-3277
(703) 368-7257
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
VA0101046623
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010005221
—
VA
Enumeration date
04/11/2007
Last updated
07/07/2015
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