Gupta, Anu
Gupta, Anu is an sole proprietor health care provider with primary practice located at 808 W Diamond Ave , Gaithersburg MD 20878-1413. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gupta, Anu can be contacted via phone (240) 364-0900.Contact Information
Primary practice address
808 W Diamond Ave
Gaithersburg MD 20878-1413
Phone: (240) 364-0900
Fax: (240) 364-0838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101053278 | Virginia |
Profile Details
| NPI number | 1790780963 |
|---|---|
| LBN Legal business name | Gupta, Anu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Oct 26th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790780963 | NPPES |
| Virginia | MEDICAID | 010068029 |
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