Individual
NEHA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1134 WOBURN GRN, BLOOMFIELD HILLS, MI 48302-2300
(734) 658-0751
Mailing address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4351046340
MI
Other
Enumeration date
05/17/2020
Last updated
05/17/2020
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