| Baldev Gupta M.d., P.c. | |
|
3700 West Rd Trenton MI 48183-2224 | |
| (734) 676-5600 | |
| (734) 676-5591 |
| Full Name | Baldev Gupta M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3700 West Rd, Trenton, Michigan |
| Authorized Official Name and Position | Baldev K Gupta (OWNER) |
| Authorized Official Contact | 7346765600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baldev Gupta M.d., P.c. 3700 West Rd Trenton MI 48183-2224 Ph: (734) 676-5600 | Baldev Gupta M.d., P.c. 3700 West Rd Trenton MI 48183-2224 Ph: (734) 676-5600 |
| NPI Number | 1134262561 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335161868 |
|---|---|
| Medicare Enrollment ID | O20051228000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134262561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301070829 (Michigan) | Primary |
| Provider Name | Baldev K Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720168164 PECOS PAC ID: 0244125847 Enrollment ID: I20040220000661 |
| Provider Name | Mohit Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851522627 PECOS PAC ID: 8325294309 Enrollment ID: I20120807000405 |
| Provider Name | Zsuzsanna Nagy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730608209 PECOS PAC ID: 2466713391 Enrollment ID: I20180309000905 |
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