Individual provider · NPI-1

Chirag Gupta, M.D.

Ophthalmology · Royal Oak, MI

NPI number1013147586

StatusActive

Last updated in NPPESFeb 28, 2023

Details

NPI: 1013147586
Entity type: Individual (NPI-1)
Name: Chirag Gupta
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jul 20, 2009
Certification date: Feb 28, 2023
Last updated: Feb 28, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207W00000X	Ophthalmology	4301094442	MI	Yes
152WC0802X	Optometrist, Corneal and Contact Management	4301094442	MI

Practice location

3535 W 13 Mile Rd Ste 555
Royal Oak, MI 48073-6770

Phone 248-551-2020 · Fax 248-551-2267

Mailing address

26901 Beaumont Blvd Ste 3d
Southfield, MI 48033-3849

Other practice locations

29201 Telegraph Rd
Suite # 101
Southfield, MI 48034-1331

Phone 248-350-1130 · Fax 248-350-2709

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