Individual
DIKSHA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8320 OLD COURTHOUSE RD STE 401, VIENNA, VA 22182-3848
(571) 506-0892
(702) 202-9615
Mailing address
8320 OLD COURTHOUSE RD STE 401, VIENNA, VA 22182-3848
(571) 506-0892
(702) 202-9615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102207087
VA
Other
Enumeration date
03/22/2019
Last updated
06/12/2024
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