Gupta, Kamal A

Gupta, Kamal A is an individual health care provider with primary practice located at 19335 Allen Rd , Brownstown Twp MI 48183-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gupta, Kamal A can be contacted via phone (734) 479-5580.

Contact Information

Primary practice address
19335 Allen Rd Brownstown Twp MI 48183-1003
Phone: (734) 479-5580
Fax: (734) 479-5586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Michigan

Profile Details

NPI number 1164415105
LBN Legal business name Gupta, Kamal A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164415105 NPPES
Michigan MEDICAID 2844198

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