Individual
DR. SATISH K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4265 FIVE OAKS DR, LANSING, MI 48911-4214
(517) 484-2261
(517) 484-6666
Mailing address
4265 FIVE OAKS DR, LANSING, MI 48911-4214
(517) 484-2261
(517) 484-6666
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
SG039537
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200611
PHP
MI
01
—
030330011
BCBS
MI
05
—
1641735
—
MI
01
—
P58801
BCN
MI
Enumeration date
05/10/2006
Last updated
07/26/2016
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