| Archana Gupta, MD | |
|
22590 Shady Ct, California, MD 20619-5009 | |
| (301) 373-7900 | |
| (301) 373-6900 |
| Full Name | Archana Gupta |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 22590 Shady Ct, California, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609894898 | NPI | - | NPPES |
| 080160592 | Other | MD | MEDICARE RAILROAD |
| 291106000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | D0056261 (Maryland) | Secondary |
| 207Q00000X | Family Medicine | S0056261 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medstar Health Vna, Inc | Calverton, MD | Home health agency |
| Chesapeake Potomac Home Health Agency | Hughesville, MD | Home health agency |
| Medstar Saint Mary's Hospital | Leonardtown, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group - Southern Maryland Llc | 1355667056 | 224 |
| Entity Name | Medstar Medical Group - Southern Maryland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831592211 PECOS PAC ID: 1355667056 Enrollment ID: O20150312000328 |
| Mailing Address | Practice Location Address |
|---|---|
| Archana Gupta, MD Po Box 640, Hollywood, MD 20636-0640 Ph: (301) 373-7318 | Archana Gupta, MD 22590 Shady Ct, California, MD 20619-5009 Ph: (301) 373-7900 |
Naomi Ruth Constantine, PMHNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22590 Shady Ct, California, MD 20619 Phone: 301-737-0500 Fax: 301-737-3351 | |
John Scott Tidball, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23415 Three Notch Rd, Suite 2054 Wildewood Center, California, MD 20619 Phone: 301-737-7833 Fax: 301-737-4865 | |
Mrs. Christine Garrity, CRNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22590 Shady Ct, California, MD 20619 Phone: 301-373-7900 |