Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gautam Gulati, MD

Individual provider Internal Medicine Physician · NPI 1104119783

Dr. Gautam Gulati, MD is an Internal Medicine Physician in Mc Lean, Virginia. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1308 Sunny Side LN
Mc Lean, VA 22102-1526
Phone: (202) 345-1228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01001001619 (MD)

Record details

NPI number1104119783
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 16, 2011
Last updated in NPPESMay 16, 2011

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