Gupta, Ashish

Gupta, Ashish is an individual health care provider with primary practice located at 2070 Biddle Ave Suite 1, Wyandotte MI 48192-4080. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Gupta, Ashish can be contacted via phone (734) 283-7248.

Contact Information

Primary practice address
2070 Biddle Ave Suite 1 Wyandotte MI 48192-4080
Phone: (734) 283-7248
Fax: (734) 283-2937
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301072131 Michigan
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301072131 Michigan

Profile Details

NPI number 1265516967
LBN Legal business name Gupta, Ashish
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Apr 10th, 2015 - about 11 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 1265516967 NPPES
Other 151747 GREAT LAKES HEALTH PLAN
Other 0208238992 GREAT LAKES HEALTH PLAN
Other 17191 GREAT LAKES HEALTH PLAN
Other 141876 GREAT LAKES HEALTH PLAN
Other P00248151 GREAT LAKES HEALTH PLAN
Other I33940 GREAT LAKES HEALTH PLAN
MEDICAID 104740862 GREAT LAKES HEALTH PLAN

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