DR. GAUTAM GULATI M.D. NPI 1104119783

NPI Information

  • NPI: 1104119783
  • Provider Name: DR. GAUTAM GULATI, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 1308 SUNNY SIDE LN
    MC LEAN, VA
    ZIP 22102
  • Phone: (202) 345-1228

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NPI Details

DR. Gautam Gulati, M.D. is an internal medicine in Mc Lean, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Gautam Gulati, M.D. NPI is 1104119783. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1308 SUNNY SIDE LN
MC LEAN, VA
ZIP 22102-526
Phone: (202) 345-1228

The enumeration date for this NPI number is 5/16/2011 and was last updated on 5/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine01001001619MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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