Individual provider · Type 1 NPI

Forest Gupta, DO

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1104560408 Active

Practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Call (313) 745-5147 Map

Mailing address

2171 Klingensmith Rd
Bloomfield Hills, MI 48302-0234

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104560408

Forest Gupta, DO's National Provider Identifier is 1104560408, issued on Apr 22, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 22, 2022.