DR. Gautam Gulati, M.D.

NPI #1104119783 in Mc Lean, Virginia

Provider Information

NPI Number: 1104119783
Entity Type: Individual
Name: DR. Gautam Gulati, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 16, 2011
Last Updated: May 16, 2011

Practice Location

Address: 1308 SUNNY SIDE LN
City: Mc Lean
State: Virginia
ZIP Code: 22102-1526
Phone: (202) 345-1228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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