Organization
ASHOK K GUPTA MD PLC
Active
Parent organization
ASHOK K GUPTA MD PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASHOK K GUPTA MD PLC
Authorized official
MRS. JULIE A HANNON (FINANCIAL DIRECTOR)
(517) 663-9469
Entity
Organization
Contact information
Practice address
101 E SPICERVILLE HWY, EATON RAPIDS, MI 48827-1919
(517) 663-9469
(517) 663-9470
Mailing address
101 E SPICERVILLE HWY, EATON RAPIDS, MI 48827-1919
(517) 663-9469
(517) 663-9470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301048680
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301048680
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10 1833420
—
MI
01
—
AG048680
BCBSM LICENSE #
MI
Enumeration date
04/29/2008
Last updated
01/09/2013
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