Individual
ASHWIN B. GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP B, ANN ARBOR, MI 48109-5352
(734) 936-5582
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301100496
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301100496
MI
Other
Enumeration date
06/19/2012
Last updated
05/20/2015
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