Individual provider · Type 1 NPI
Ishan Gupta, MD
Addiction Medicine (Psychiatry & Neurology) Physician · Detroit, MI
NPI number
1255787487
Active
Practice location
4646 John R St
Detroit, MI 48201-1916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | 35.139078 (OH) |
| Psychiatry Physician | 2084P0800X | 4301500842 (MI) |
| Psychiatry Physician | 2084P0800X | 35.139078 (OH) |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 4301500842 (MI) |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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About NPI 1255787487
Ishan Gupta, MD's National Provider Identifier is 1255787487, issued on May 6, 2016. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Detroit, MI. The record was last updated on Jun 8, 2026.