Individual
DR. KRISHAN KUMAR GULATI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
14450 SMOKETOWN RD, FAMILY HEALTH CENTER OF WOODBRIDGE, WOODBRIDGE, VA 22192-4712
(703) 491-7668
Mailing address
9303 HALLSTON CT, FAIRFAX STATION, VA 22039-3149
(703) 491-7668
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101043990
VA
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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