| Saurabh Gupta, M.d., Plc | |
|
610 E 12 Mile Rd Suite B Madison Heights MI 48071-2567 | |
| (248) 850-3116 | |
| (248) 850-3119 |
| Full Name | Saurabh Gupta, M.d., Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 610 E 12 Mile Rd, Madison Heights, Michigan |
| Authorized Official Name and Position | Saurabh Gupta (OWNER) |
| Authorized Official Contact | 5867418272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saurabh Gupta, M.d., Plc 27521 Owen Ct Harrison Township MI 48045-6860 Ph: () - | Saurabh Gupta, M.d., Plc 610 E 12 Mile Rd Suite B Madison Heights MI 48071-2567 Ph: (248) 850-3116 |
| NPI Number | 1265662704 |
|---|---|
| Provider Enumeration Date | 07/17/2009 |
| Last Update Date | 12/02/2012 |
| Medicare PECOS PAC ID | 4082750211 |
|---|---|
| Medicare Enrollment ID | O20091001000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265662704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | SG064922 (Michigan) | Primary |
| Provider Name | Saurabh Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912926510 PECOS PAC ID: 5799734315 Enrollment ID: I20050120000512 |
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