Individual
DR. ANU GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
808 W DIAMOND AVE, GAITHERSBURG, MD 20878-1413
(240) 364-0900
(240) 364-0838
Mailing address
808 W DIAMOND AVE, GAITHERSBURG, MD 20878-1413
(240) 364-0900
(240) 364-0838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101053278
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010068029
—
VA
Enumeration date
06/15/2005
Last updated
10/26/2012
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