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Organization
SHALINI GUPTA, M.D., P.C.
Active
Organization
SHALINI GUPTA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORINNE JOHNSON (OFFICE MANAGER)
(313) 292-7700
Entity
Organization
Contact information
Practice address
25500 GODDARD RD, TAYLOR, MI 48180-3926
(313) 292-1300
(313) 292-1305
Mailing address
47753 SEVEN MILE RD, NORTHVILLE, MI 48167
(248) 842-3221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301067982
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4264114 TYPE 10
—
MI
Enumeration date
07/20/2006
Last updated
12/28/2009
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