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Individual

DR. ASHOK K GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 E SPICERVILLE HWY, STE 300, EATON RAPIDS, MI 48827-1919
(517) 663-9469
(517) 663-9470
Mailing address
101 E SPICERVILLE HWY, PO BOX 521, EATON RAPIDS, MI 48827-1919
(517) 663-9469
(517) 663-9470

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AG048680
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0400004
PHP
MI
05
101833420
MI
01
1102300212
BLUE CROSS BLUE SHIELD
MI
01
239397
MCLAREN
MI
Enumeration date
01/25/2006
Last updated
10/06/2010
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