Individual
KUSH GOPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
38492 MEGHAN LN, WESTLAND, MI 48185-7652
(734) 502-2603
Mailing address
38492 MEGHAN LN, WESTLAND, MI 48185-7652
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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