IndividualActive
Gautam Gulati, M.D.
NPI 1104119783 · Internal Medicine Physician · Mc Lean, VA
Provider details
- NPI number
- 1104119783
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01001001619 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1308 Sunny Side Ln
Mc Lean, VA 22102-1526
Phone: (202) 345-1228
Street-level locationGet directions
Mailing address
Po Box 10423
Mc Lean, VA 22102-8423
Registry dates
- Enumerated
- 2011-05-16
- Last updated
- 2011-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.