Individual
DR. ASHISH KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5638
(313) 745-5867
Mailing address
4201 SAINT ANTOINE ST, UHC 5D - MAILBOX 226, DETROIT, MI 48201-2153
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
22759
MS
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301117104
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
MD15293
RI
Other
Enumeration date
08/02/2013
Last updated
08/13/2020
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