Individual
MALANI MARIE GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1540 LAKE LANSING RD, SUITE G06, LANSING, MI 48912-3756
(517) 482-7246
(517) 484-7377
Mailing address
1540 LAKE LANSING RD, SUITE G06, LANSING, MI 48912-3756
(517) 482-7246
(517) 484-7377
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301098839
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301098839
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301098839
MI
Other
Enumeration date
04/04/2011
Last updated
08/10/2016
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