Gupta, Archana
Gupta, Archana is an individual health care provider with primary practice located at 22590 Shady Ct , California MD 20619-5009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Gupta, Archana can be contacted via phone (301) 373-7900.Contact Information
Primary practice address
22590 Shady Ct
California MD 20619-5009
Phone: (301) 373-7900
Fax: (301) 373-6900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | D0056261 | Maryland |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | S0056261 | Maryland |
Profile Details
| NPI number | 1609894898 |
|---|---|
| LBN Legal business name | Gupta, Archana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Sep 13th, 2021 - about 4 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 | 1609894898 | NPPES |
| Maryland | Other | 080160592 | MEDICARE RAILROAD |
| Maryland | MEDICAID | 291106000 | MEDICARE RAILROAD |
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