Individual
DR. VISHAL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 SHAFFER ST, SUITE 232, KALAMAZOO, MI 49048-1647
(269) 226-5050
(269) 226-5034
Mailing address
1521 GULL RD, GOC 331, KALAMAZOO, MI 49048-1640
(269) 226-5050
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
227575
MA
207RI0011X
Interventional Cardiology Physician
Primary
4301076700
MI
Other
Enumeration date
08/20/2006
Last updated
06/11/2015
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