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1982965398
PRAVEEN KUMAR GUPTA
FAIRFAX, VA
NPI
1982965398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 010154944)
Enumeration Date
2012-06-01
Last Update Date
2012-06-01
Business Address
-- PRAVEEN KUMAR GUPTA M.D.
4080 CHAIN BRIDGE ROAD
FAIRFAX, VA 22030
Phone number: 703-246-4949
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Mailing Address
-- PRAVEEN KUMAR GUPTA M.D.
4080 CHAIN BRIDGE RD
FAIRFAX, VA 22030-4080
Phone number: 703-246-4949
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