Individual
MANIK KUMAR GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
3800 WOODWARD AVE APT 704, DETROIT, MI 48201-1980
(404) 805-3042
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
63104
AZ
207L00000X
Anesthesiology Physician
CDR.0006114
CO
Other
Enumeration date
04/06/2015
Last updated
12/11/2025
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