Individual
RUBY GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 SCHAEFER RD STE 260, DEARBORN, MI 48126-3743
(313) 583-5400
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301506554
MI
207RH0003X
Hematology & Oncology Physician
Primary
4301506554
MI
Other
Enumeration date
10/13/2009
Last updated
01/24/2023
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