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DR. GAUTAM GULATI M.D.
NPI 1104119783
Internal Medicine in Mc Lean, VA

Active since May 16, 2011
1308 SUNNY SIDE LN, MC LEAN, VA 22102(202) 345-1228 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gautam Gulati M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GAUTAM GULATI M.D. (NPI 1104119783) is an individual internal medicine provider in Mc Lean, Virginia, licensed in Maryland (01001001619) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1104119783
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GAUTAM GULATICredential: M.D.
Location Address1308 SUNNY SIDE LNMc Lean, VA 22102-1526
Mailing AddressPo Box 10423Mc Lean, VA 22102-8423 · (202) 345-1228
Phone(202) 345-1228
Sole ProprietorYes
Enumeration DateMay 16, 2011
✔ NPI 1104119783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · 01001001619
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1308 SUNNY SIDE LN, Mc Lean, VA 22102
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gautam Gulati's NPI number?

The NPI number for Gautam Gulati is 1104119783. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Gautam Gulati located?

Gautam Gulati practices at 1308 Sunny Side Ln, Mc Lean, VA 22102. The listed phone number is (202) 345-1228.

What is Gautam Gulati's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Gautam Gulati was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.