Individual
SAMARDEEP GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301068493
MI
207RR0500X
Rheumatology Physician
229000
MA
207RR0500X
Rheumatology Physician
Primary
4301068493
MI
Other
Enumeration date
07/15/2006
Last updated
03/16/2020
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