Individual
DR. MALIKA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, SUITE H-2100, ANN ARBOR, MI 48105-9484
(734) 647-6263
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
T7935
TX
208000000X
Pediatrics Physician
4301113493
MI
208000000X
Pediatrics Physician
D0072908
MD
2080P0201X
Pediatric Allergy/Immunology Physician
267619
NY
2080P0201X
Pediatric Allergy/Immunology Physician
4301113493
MI
Other
Enumeration date
07/29/2008
Last updated
12/29/2023
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