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Individual
ASHISH GUPTA
Active
Individual
ASHISH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301072131
MI
2086S0129X
Vascular Surgery Physician
Primary
4301072131
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208238992
BCBS
MI
05
—
104740862
—
MI
01
—
141876
CARE CHOICES
—
01
—
151747
GREAT LAKES HEALTH PLAN
—
01
—
17191
M-CARE
—
01
—
I33940
HAP
—
01
—
P00248151
MEDICARE RAILROAD
—
Enumeration date
10/25/2006
Last updated
04/10/2015
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