Individual provider · Type 1 NPI

Ajita Gupta, MD

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

NPI number 1639739196 Active

Practice location

7575 Grand River Rd Ste 209
Brighton, MI 48114-9379

Mailing address

7575 Grand River Rd Ste 210
Brighton, MI 48114-9379

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 1639739196

Ajita Gupta, MD's National Provider Identifier is 1639739196, issued on Jun 17, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brighton, MI. The record was last updated on Apr 8, 2020.