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Organization

ANU GUPTA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANU GUPTA M.D. (PRESIDENT)
(703) 934-4450
Entity
Organization

Contact information

Practice address
10301 DEMOCRACY LN, FAIRFAX, VA 22030-2545
(703) 934-4450
(703) 934-5533
Mailing address
10301 DEMOCRACY LN, FAIRFAX, VA 22030-2545
(703) 934-4450
(703) 934-5533

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0101053278
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1790780963
PHYSICIAN NPI
Enumeration date
03/13/2007
Last updated
04/08/2008
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