Individual
PRIYANKA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
4301105050
MI
208800000X
Urology Physician
4301105050
MI
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
4301105050
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2009
Last updated
12/18/2024
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