Organization
ARUN GUPTA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARUN GUPTA MD (PRESIDENT)
(734) 241-7162
Entity
Organization
Contact information
Practice address
1094 N MONROE ST, MONROE, MI 48162-3193
(734) 241-7162
(734) 241-9102
Mailing address
1094 N MONROE ST, MONROE, MI 48162-3193
(734) 241-7162
(734) 241-9102
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301047791
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105815672
BLUE CARE NETWORK
MI
01
—
0581567
BLUE CROSS BLUE SHEILD
MI
05
—
4198592
—
MI
Enumeration date
02/15/2008
Last updated
10/30/2019
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