Individual
ANJALI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(248) 668-8650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301082578
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F336360
BCBSM
MI
01
—
1346398971
GRP NPI
MI
01
—
205485614
TAX ID
MI
01
—
AG082578
LICENSE
MI
Enumeration date
05/30/2007
Last updated
02/25/2026
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