Provider Demographics
NPI:1306861620
Name:GULATI, MEETA (MD)
Entity Type:Individual
Prefix:DR
First Name:MEETA
Middle Name:
Last Name:GULATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 ROYAL MILE DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-3052
Mailing Address - Country:US
Mailing Address - Phone:410-652-5408
Mailing Address - Fax:
Practice Address - Street 1:4920 CAMPBELL BLVD
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5916
Practice Address - Country:US
Practice Address - Phone:410-933-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0054034207R00000X
MDD54034207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
82046304OtherCAREFIRST MARYLAND
0021OtherCAREFIRST DC
12529OtherKAISER
281934OtherMAMSI
7230105OtherAETNA PPO
MD012005OtherJOHNS HOPKINS HEALTHCARE
1974417OtherUNITED HEALTHCARE
110151OtherCOVENTRY
700307OtherNCPPO
MD93450Medicaid
2310338OtherAETNA HMO
1655118OtherCIGNA
MD230703100Medicaid
281934OtherMAMSI
H01026Medicare UPIN
2310338OtherAETNA HMO