Individual
SUBHASH C GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E MICHIGAN AVE, LOWER LEVEL, LANSING, MI 48912-1800
(517) 364-5330
(517) 364-5335
Mailing address
1540 LAKE LANSING RD, SUITE G06, LANSING, MI 48912-3756
(517) 482-7246
(517) 484-7377
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301056151
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301056151
MI
208VP0000X
Pain Medicine Physician
4301056151
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301056151
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2702808
—
MI
05
—
2919074
—
MI
05
—
3151420
—
MI
Enumeration date
04/03/2006
Last updated
03/07/2023
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