Organization
GUPTA ENT CENTER WEST, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL K GUPTA MD (OWNER)
(248) 549-9035
Entity
Organization
Contact information
Practice address
33200 W 14 MILE RD, STE 240, WEST BLOOMFIELD, MI 48322-3563
(248) 539-9060
(248) 539-9202
Mailing address
32121 WOODWARD AVE, STE 203, ROYAL OAK, MI 48073-6237
(248) 549-9035
(248) 549-9407
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
332S00000X
Hearing Aid Equipment
4301062010
MI
Other
Enumeration date
05/10/2011
Last updated
09/18/2012
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