Gupta, Michelle A

Gupta, Michelle A is an individual health care provider with primary practice located at 101 W 8Th Ave Ste 100 , Spokane WA 99204. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is her primary health care specialty. Gupta, Michelle A can be contacted via phone (509) 474-5489.

Contact Information

Primary practice address
101 W 8Th Ave Ste 100 Spokane WA 99204
Phone: (509) 474-5489
Fax: (509) 227-7070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X N/A California
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 075711 Georgia
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X MD60857749 Washington

Profile Details

NPI number 1033343298
LBN Legal business name Gupta, Michelle A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2009
Last updated May 25th, 2021 - about 3 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 1033343298 NPPES
Georgia MEDICAID 003177886A

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