Provider Demographics
NPI:1164429510
Name:GUPTA, ALOK K (MD)
Entity Type:Individual
Prefix:MR
First Name:ALOK
Middle Name:K
Last Name:GUPTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20156
Mailing Address - Country:US
Mailing Address - Phone:571-248-6666
Mailing Address - Fax:571-248-6667
Practice Address - Street 1:7350 HERITAGE VILLAGE PLAZA
Practice Address - Street 2:SUITE 101 ARJUN MEDICAL CENTER PC
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155
Practice Address - Country:US
Practice Address - Phone:571-248-6666
Practice Address - Fax:571-248-6667
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101236189207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010082439Medicaid
VA262048Medicare PIN
VAG73811Medicare UPIN