Gupta, Prabha Ugalat
Gupta, Prabha Ugalat is an individual health care provider with primary practice located at 700 24Th St , Fort Lee VA 23801-1716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gupta, Prabha Ugalat can be contacted via phone (804) 734-9993.Contact Information
Primary practice address
700 24Th St
Fort Lee VA 23801-1716
Phone: (804) 734-9993
Fax: (877) 874-1008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101237185 | Virginia |
Profile Details
| NPI number | 1346202553 |
|---|---|
| LBN Legal business name | Gupta, Prabha Ugalat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Nov 3rd, 2015 - about 9 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 | 1346202553 | NPPES |
| Other | 185140 | ANTHEM | |
| MEDICAID | 010203121 | ANTHEM |
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