# PRIMECARE PHYSICIAN PARTNER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** None
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326739202
- **Authorized official:** ASHISH KUMAR GUPTA MD (FOUNDER AND CEO)
- **Authorized official phone:** (201) 744-0694

## Contact information

- **Practice address:** 6071 W OUTER DR, DETROIT, MI 48235-2624
- **Practice address phone:** (313) 966-3300
- **Mailing address:** 544 ABBEY MILL DR SE, ADA, MI 49301-7732
- **Mailing address phone:** (201) 744-0694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2023
- **Last updated:** 05/19/2023