Provider Demographics
NPI:1023228947
Name:KURICHH, ANUJA GUPTA (MD)
Entity type:Individual
Prefix:
First Name:ANUJA
Middle Name:GUPTA
Last Name:KURICHH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 BLACKBURN CT
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1650
Mailing Address - Country:US
Mailing Address - Phone:301-476-9373
Mailing Address - Fax:301-476-7499
Practice Address - Street 1:4700 BERWYN HOUSE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-2474
Practice Address - Country:US
Practice Address - Phone:301-982-0011
Practice Address - Fax:301-476-7499
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0055185207R00000X
VA0101840456207R00000X
DCMD32209207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC137491ZBQHMedicare PIN
MDH86801Medicare UPIN