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Individual
DR. SAURABH GUPTA
Active
Individual
DR. SAURABH GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301064922
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301064922
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
4301064922
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4828460
—
MI
05
—
4841640
—
MI
01
—
P00285735
RAILROAD MEDICARE
MI
Enumeration date
07/18/2006
Last updated
06/24/2014
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