Individual
DR. NISHA K GUPTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19335 ALLEN RD, BROWNSTOWN TWP, MI 48183-1003
(734) 479-5580
(734) 479-5586
Mailing address
19335 ALLEN RD, BROWNSTOWN TWP, MI 48183-1003
(734) 479-5580
(734) 479-5586
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301058689
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3180118
—
MI
Enumeration date
08/24/2005
Last updated
07/08/2007
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