Individual
DR. ADITI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5701 BOW POINTE DR STE 100, CLARKSTON, MI 48346-3199
(248) 625-2621
(248) 625-2622
Mailing address
5701 BOW POINTE DR STE 100, CLARKSTON, MI 48346-3199
(248) 625-2621
(248) 625-2622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301099606
MI
208M00000X
Hospitalist Physician
Primary
4301099606
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174779011
—
MI
Enumeration date
08/12/2008
Last updated
02/26/2024
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