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SURESH C GUPTA MD PA NPI 1134114507


NPI Information

NPI: 1134114507
Provider Name: SURESH C GUPTA MD PA
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
11119 ROCKVILLE PIKE STE 105
ROCKVILLE, MD
ZIP 20852
Phone: (301) 816-2830
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SURESH C GUPTA MD PA is a pulmonary disease internal medicine in Rockville, MD. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. SURESH C GUPTA MD PA NPI is 1134114507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11119 ROCKVILLE PIKE STE 105
ROCKVILLE, MD
ZIP 20852-143
Phone: (301) 816-2830
Fax: (301) 816-3236

The provider's authorized official is Suresh C Gupta .
The authorized official title is Physician/president and has the following contact phone number (301) 864-1133.

The enumeration date for this NPI number is 9/13/2005 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseD14876MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1017201400MEDICAIDMARYLAND

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: 4/28/2024

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