MEDICARE: HARPREET GULATI 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	D0057015	MD

General Provider Information

NPI Number	:	1235532912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARPREET GULATI MD

Provider Business Mailing Address
First Line	:	5257 BUCKEYSTOWN PIKE STE 265
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21704-7535
Country	:	US
Telephone Number	:	301-512-1239
Fax Number	:

Provider Business Practice Location Address
First Line	:	5257 BUCKEYSTOWN PIKE STE 265
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21704-7535
Country	:	US
Telephone Number	:	301-512-1239
Fax Number	:

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

Provider Enumeration Date	:	10/08/2014
Last Update Date	:	10/08/2014

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