MEDICARE: MR. ALOK K GUPTA MD

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
1	207R00000X	Internal Medicine Physician	0101236189	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164429510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALOK K GUPTA MD

Provider Business Mailing Address
First Line	:	PO BOX 188
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20156
Country	:	US
Telephone Number	:	571-248-6666
Fax Number	:	571-248-6667

Provider Business Practice Location Address
First Line	:	7350 HERITAGE VILLAGE PLAZA
Second Line	:	SUITE 101 ARJUN MEDICAL CENTER PC
City	:	GAINESVILLE
State	:	VA
Zip	:	20155
Country	:	US
Telephone Number	:	571-248-6666
Fax Number	:	571-248-6667

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	03/31/2014

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