# SATISH GUPTA MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316374176
- **Authorized official:** DR. DAVE GUPTA M.D. (PHYSICIAN)
- **Authorized official phone:** (517) 484-2261

## Contact information

- **Practice address:** 1100 W SAGINAW ST, SUITE 620, LANSING, MI 48915-2033
- **Practice address phone:** (517) 484-2261
- **Practice address fax:** (517) 484-6666
- **Mailing address:** 1100 W SAGINAW ST, SUITE 620, LANSING, MI 48915-2033
- **Mailing address phone:** (517) 484-2261
- **Mailing address fax:** (517) 484-6666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 4301102279 | MI | Yes |

## Other

- **Enumeration date:** 10/10/2013
- **Last updated:** 10/10/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1641735 | — | MI |