NPI 1043492341

Ajay Gupta, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Ypsilanti, MI

Practice location

Address: 5325 Elliott Dr Suite Number 102, Ypsilanti, MI 48197-8633
Phone: (734) 712-5500
Fax: (734) 712-8209

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 4301076275 (MI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1043492341
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2007
Record last updated: 30 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.