DR. Mita Gupta, O.D.

NPI #1912977646 in Manassas, Virginia

Provider Information

NPI Number: 1912977646
Entity Type: Individual
Name: DR. Mita Gupta, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 25, 2006
Last Updated: Dec 15, 2009

Practice Location

Address: 8912 CENTREVILLE RD
City: Manassas
State: Virginia
ZIP Code: 20110-8455
Phone: (703) 361-6151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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