Gupta, Bal Krishan

Gupta, Bal Krishan is an individual health care provider with primary practice located at 11900 E Twelve Mile Rd Suite 111, Warren MI 48093-3472. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gupta, Bal Krishan can be contacted via phone (586) 573-5300.

Contact Information

Primary practice address
11900 E Twelve Mile Rd Suite 111 Warren MI 48093-3472
Phone: (586) 573-5300
Fax: (586) 573-5304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 4301037633 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301037633 Michigan

Profile Details

NPI number 1225041353
LBN Legal business name Gupta, Bal Krishan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Apr 22nd, 2014 - about 12 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 1225041353 NPPES
Michigan MEDICAID 1368788
Michigan Other 260E011140

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