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NPI Code Detail

MEDICARE: CHARU GUPTA M.B.B.S

MEDICARE:   CHARU  GUPTA  M.B.B.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD040608DC
2208000000XPediatrics Physician2025-03683NC
3208000000XPediatrics Physician01070848AIN

General Provider Information

NPI Number : 1073870002
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARU GUPTA M.B.B.S
Provider Business Mailing Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-476-5058
Fax Number :
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-476-5058
Fax Number : 202-476-3475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2012
Last Update Date : 04/14/2026

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Directions to “ CHARU GUPTA M.B.B.S” Practice Location

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