Organization
KRISHNA K. GUPTA, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA K. GUPTA M.D. (SOLO PRACTICE)
(248) 652-8347
Entity
Organization
Contact information
Practice address
1135 W UNIVERSITY DR, SUITE 325 CRITTENTON MEDICAL BUILDING, ROCHESTER, MI 48307-1871
(248) 652-8347
(248) 650-4576
Mailing address
1135 W UNIVERSITY DR, SUITE 325 CRITTENTON MEDICAL BUILDING, ROCHESTER, MI 48307-1871
(248) 652-8347
(248) 650-4576
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301046834
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922149376
NPI
MI
Enumeration date
08/12/2008
Last updated
08/12/2008
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