Individual
MANISHA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6812
(989) 583-6915
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6812
(989) 583-6915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301074089
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152198
GREAT LAKES HEALTH PLAN
MI
01
—
381870664
TAX ID
MI
05
—
4791306
—
MI
01
—
700G360210
BCBSM GROUP
MI
01
—
MG074089
LICENSE
MI
Enumeration date
08/31/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us