Individual
AYUSH GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11900 E 12 MILE RD STE 205, WARREN, MI 48093-3499
(586) 582-7033
(586) 582-7034
Mailing address
11900 E 12 MILE RD STE 205, WARREN, MI 48093-3499
(586) 582-7033
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351056468
MI
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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