Suresh C Gupta Md Pa

NPI 1134114507 - Internal Medicine - 207RP1001X

NPI Details
NPI 1134114507
Enumeration Date 09/13/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SURESH C SURESH
Position PHYSICIAN/PRESIDENT
Phone (301) 816-2830
Fax (301) 816-3236
Practice Location
4701 RANDOLPH RD
SUITE 203
ROCKVILLE MD, 20852-2257, US
Phone (301) 816-2830
Fax (301) 816-3236
Business Location
3503 PERRY ST
MOUNT RAINIER MD, 20712-2141, US
Phone (301) 864-1133
Fax (301) 864-2155
Toxanomy
Taxonomy Code 207RP1001X
License State Maryland
License Number D14876
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According to our database, Suresh C Gupta Md Pa NPI is 1134114507, taxonomy code is 207RP1001X and license number is D14876, license state is located at Maryland. Suresh C Gupta Md Pa physically located at 4701 Randolph Rd, Rockville MD, 20852-2257. NPI Number 1033115704 has the healthcare provider type.

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1134114507 NPI number is provided on an as is basis without warranty of any kind. 1134114507 is maintained by the National Plan & Provider Enumeration System. The contents of Suresh C Gupta Md Pa are for informational purposes only.