Sham L Gupta MD PC

NPI #1760649933 in Allen Park, Michigan

Provider Information

NPI Number: 1760649933
Entity Type: Organization
Organization Name: Sham L Gupta MD PC
Primary Specialty: Surgery
Enumeration Date: May 16, 2008
Last Updated: Feb 13, 2009

Practice Location

Address: 15101 SOUTHFIELD RD
Address 2: SUITE 102
City: Allen Park
State: Michigan
ZIP Code: 48101-2697
Phone: (313) 389-9950

Authorized Official

Name: DR. SHAM LAL GUPTA, MD
Title: OWNER
Phone: (734) 287-3733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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