Individual
DR. ARUN GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
207Q00000X
Family Medicine Physician
4301047791
MI
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
4301047791
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105815672
BLUE CARE NETWORK
MI
01
—
0581567
BLUE CROSS BLUE SHIELD
MI
01
—
080155107
PALMETTO GBA
MI
01
—
357
HEALTH PLAN OF MICHIGAN
MI
05
—
4198592
—
MI
01
—
I4096412
AETNA
MI
Enumeration date
07/12/2006
Last updated
07/30/2019
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