Individual
DR. ELENA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E MICHIGAN AVE STE 102, JACKSON, MI 49201-1406
(517) 205-3273
(517) 205-0111
Mailing address
100 E MICHIGAN AVE STE 102, JACKSON, MI 49201-1406
(517) 205-3273
(517) 205-0111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301082579
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301082579
MI
Other
Enumeration date
11/16/2007
Last updated
10/13/2022
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