Individual
NITIN KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27177 LAHSER RD STE 103, SOUTHFIELD, MI 48034-8467
(248) 357-1360
Mailing address
6725 COLBY LN, BLOOMFIELD, MI 48301-2948
(248) 357-1360
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036.161833
IL
207RC0000X
Cardiovascular Disease Physician
4301110024
MI
207RI0011X
Interventional Cardiology Physician
036.161833
IL
207RI0011X
Interventional Cardiology Physician
Primary
4301110024
MI
Other
Enumeration date
05/31/2008
Last updated
09/21/2022
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