Individual
DR. SARITA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 WALTON BLVD, ROCHESTER HILLS, MI 48309-1481
(248) 650-0096
Mailing address
2295 SHORE HILL DRIVE, WEST BLOOMFIELD, MI 48323
(248) 253-0787
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
4301044594
MI
207ZP0101X
Anatomic Pathology Physician
Primary
4301044594
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301044594
MICHIGAN MEDICAL LICENSE
MI
Enumeration date
06/17/2015
Last updated
06/17/2015
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