Individual provider · Type 1 NPI

Ayush Gupta, MD

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

NPI number 1205773884 Active

Practice location

11900 E 12 Mile Rd Ste 205
Warren, MI 48093-3499

Call (586) 582-7033 Map

Fax (586) 582-7034

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351056468 (MI)

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 1205773884

Ayush Gupta, MD's National Provider Identifier is 1205773884, issued on May 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Warren, MI. The record was last updated on May 1, 2026.