Gupta, Suresh C

Gupta, Suresh C is an individual health care provider with primary practice located at 1510 S State Rd Suite A, Davison MI 48423-1965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gupta, Suresh C can be contacted via phone (810) 653-0899.

Contact Information

Primary practice address
1510 S State Rd Suite A Davison MI 48423-1965
Phone: (810) 653-0899
Fax: (810) 653-4144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X P4761 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301037942 Michigan

Profile Details

NPI number 1376645002
LBN Legal business name Gupta, Suresh C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated May 2nd, 2018 - about 7 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 1376645002 NPPES
Michigan MEDICAID 3235996

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