Praveen Kumar Gupta, MD - Internal Medicine in Fairfax, VA

Praveen Kumar Gupta, MD is a Internal Medicine physician based in Fairfax, Virginia. Praveen Kumar Gupta is licensed to practice in Virginia (license number 010154944) and his current practice location is 4080 Chain Bridge Road, Fairfax, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 246-4949.

NPI number for Praveen Kumar Gupta is 1982965398 and his current mailing address is 4080 Chain Bridge Rd, Fairfax, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982965398.

Contact Information

Praveen Kumar Gupta, MD
4080 Chain Bridge Road,
Fairfax, VA 22030
(703) 246-4949
(703) 352-0217

Map and Direction




Physician's Profile

Full NamePraveen Kumar Gupta
GenderMale
SpecialityInternal Medicine
Location4080 Chain Bridge Road, Fairfax, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982965398
  • Provider Enumeration Date: 06/01/2012
  • Last Update Date: 06/01/2012

Medical Identifiers

Medical identifiers for Praveen Kumar Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982965398NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 010154944 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Praveen Kumar Gupta is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Praveen Kumar Gupta, MD
4080 Chain Bridge Rd,
Fairfax, VA 22030-4080

Ph: (703) 246-4949
Praveen Kumar Gupta, MD
4080 Chain Bridge Road,
Fairfax, VA 22030

Ph: (703) 246-4949

Reviews and Comments


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