| Arun Gupta Md Pc | |
|
1094 N Monroe St Monroe MI 48162-3193 | |
| (734) 241-7162 | |
| (734) 241-9102 |
| Full Name | Arun Gupta Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 1094 N Monroe St, Monroe, Michigan |
| Authorized Official Name and Position | Arun Gupta (PRESIDENT) |
| Authorized Official Contact | 7342417162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arun Gupta Md Pc 1094 N Monroe St Monroe MI 48162-3193 Ph: (734) 241-7162 | Arun Gupta Md Pc 1094 N Monroe St Monroe MI 48162-3193 Ph: (734) 241-7162 |
| NPI Number | 1669640314 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 10/30/2019 |
| Medicare PECOS PAC ID | 1850351883 |
|---|---|
| Medicare Enrollment ID | O20041014000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669640314 | NPI | - | NPPES |
| 0105815672 | Other | MI | BLUE CARE NETWORK |
| 0581567 | Other | MI | BLUE CROSS BLUE SHEILD |
| 4198592 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4301047791 (Michigan) | Primary |
| Provider Name | Arun C Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841225166 PECOS PAC ID: 9931169968 Enrollment ID: I20041015000237 |
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