Organization Name: | ARUN GUPTA MD PC |
NPI Number: | 1669640314 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARUN GUPTA (PRESIDENT) |
Mailing Address: | 1094 N Monroe St Monroe |
State: | MI US |
Postal Code: | 481623193 |
Phone Number: | 7342417162 |
Fax Number: | 7342419102 |
NPI Enumeration Date: | 02/15/2008 |
NPI Last Update Date: | 03/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301047791 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |