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Individual
NEELUM GUPTA
Active
Individual
NEELUM GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301066816
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F37128
BCBSM
MI
05
—
1811901309
—
MI
05
—
4715799
—
MI
Enumeration date
07/28/2006
Last updated
05/03/2016
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