Organization
RENUKA GUPTA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENUKA GUPTA M.D. (PRESIDENT)
(301) 345-7885
Entity
Organization
Contact information
Practice address
7215 HANOVER PKWY, D, GREENBELT, MD 20770-2019
(301) 345-7885
(301) 345-7422
Mailing address
7215 HANOVER PKWY, D, GREENBELT, MD 20770-2019
(301) 345-7885
(301) 345-7422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406646400
—
MD
Enumeration date
03/02/2006
Last updated
06/17/2011
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