# MR. ISHAN GUPTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255787487
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 35.139078 | OH | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 4301500842 | MI | — |
| 2084P0800X | Psychiatry Physician | 35.139078 | OH | — |
| 2084P0800X | Psychiatry Physician | 4301500842 | MI | — |

## Other

- **Enumeration date:** 05/06/2016
- **Last updated:** 06/08/2026