Gupta, Nisha K

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

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 4301058689 Michigan

Profile Details

NPI number 1306839311
LBN Legal business name Gupta, Nisha K
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 1306839311 NPPES
Michigan MEDICAID 3180118

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