Rahul Gupta, MD
Student in an Organized Health Care Education/Training Program in Detroit, MI. Individual provider (NPI-1).
NPI number1942903380
StatusActive
Last updated in NPPESMar 24, 2023
Details
- NPI
- 1942903380
- Entity type
- Individual (NPI-1)
- Name
- Rahul Gupta
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2023
- Certification date
- Mar 24, 2023
- Last updated
- Mar 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2799 W Grand BlvdDetroit, MI 48202-2608
Phone 313-916-2600
Mailing address
2799 W Grand BlvdDetroit, MI 48202-2608
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