Provider Demographics
NPI:1881879385
Name:GULATI-RAO, ROOPA (MS, DDS)
Entity type:Individual
Prefix:DR
First Name:ROOPA
Middle Name:
Last Name:GULATI-RAO
Suffix:
Gender:F
Credentials:MS, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 GARDEN VIEW SQ
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6116
Mailing Address - Country:US
Mailing Address - Phone:240-477-6583
Mailing Address - Fax:
Practice Address - Street 1:20400 OBSERVATION DR
Practice Address - Street 2:SUITE 208
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-4085
Practice Address - Country:US
Practice Address - Phone:301-528-8685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13986122300000X
NY048952122300000X
VA0401412594122300000X
DCDEN1000824122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist