Organization
ASHOK GUPTA, M.D., P.L.L.C.
Active
Other names
Ashok Gupta, M.D., P.L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHOK GUPTA M.D. (DOCTOR)
(248) 681-6577
Entity
Organization
Contact information
Practice address
2200 BEECHMONT ST, KEEGO HARBOR, MI 48320-1460
(248) 681-6577
Mailing address
PO BOX 645, KEEGO HARBOR, MI 48320-0645
(248) 681-6577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301042770
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103507272
—
MI
01
—
4301042770
LICENSE
MI
01
—
B44353
UPIN
MI
Enumeration date
08/07/2007
Last updated
03/07/2023
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