Individual
DR. AJAY GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 ELLIOTT DR, SUITE NUMBER 102, YPSILANTI, MI 48197-8633
(734) 712-5500
(734) 712-8209
Mailing address
5325 ELLIOTT DR, SUITE NUMBER 102, YPSILANTI, MI 48197-8633
(734) 712-5500
(734) 712-8209
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301076275
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/29/2007
Last updated
12/30/2009
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