Gupta, Bal Krishan
Gupta, Bal Krishan is an individual health care provider with primary practice located at 11900 E Twelve Mile Rd Suite 111, Warren MI 48093-3472. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gupta, Bal Krishan can be contacted via phone (586) 573-5300.Contact Information
Primary practice address
11900 E Twelve Mile Rd Suite 111
Warren MI 48093-3472
Phone: (586) 573-5300
Fax: (586) 573-5304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 4301037633 | Michigan |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301037633 | Michigan |
Profile Details
| NPI number | 1225041353 |
|---|---|
| LBN Legal business name | Gupta, Bal Krishan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Apr 22nd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225041353 | NPPES |
| Michigan | MEDICAID | 1368788 | |
| Michigan | Other | 260E011140 |
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