Provider Demographics
NPI:1063692218
Name:GUPTA, ALOK K (MD)
Entity type:Individual
Prefix:DR
First Name:ALOK
Middle Name:K
Last Name:GUPTA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1150
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-1150
Mailing Address - Country:US
Mailing Address - Phone:410-766-1444
Mailing Address - Fax:410-768-5703
Practice Address - Street 1:7575 RITCHIE HWY
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3716
Practice Address - Country:US
Practice Address - Phone:410-766-1444
Practice Address - Fax:410-768-5703
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2017-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMT185820208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery