DR. SAURABH GUPTA (NPI# 1912926510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912926510 |
| Entity Type | Individual |
| Full Name | DR. SAURABH GUPTA |
| Credential | M.D. |
| Practice Address |
610 E 12 Mile Rd Ste B Madison Heights MI 48071-2567 |
| Practice Telephone | 2488503116 |
| Practice Fax Number | 2488503119 |
| Mailing Telephone | 2488503116 |
| Mailing Fax Number | 2488503119 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301064922 | MI | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
4301064922 | MI | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
4301064922 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4828460 | 05 | |
| MI | RAILROAD MEDICARE | P00285735 | 01 |
| MI | 4841640 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770934788 | Saurabh Gupta | Surgery | 15 S Exeter St, Baltimore, MD 21202-4603 | 2016-06-30 |
| 1952746802 | Saurabh Gupta | Radiology | 2675 N Decatur Rd Ste 310, Decatur, GA 30033-6133 | 2013-05-06 |
| 1740381334 | Saurabh Gupta | Psychiatry & Neurology | 100 Rockford Drive, Newark, DE 19713 | 2006-09-26 |
| 1164927059 | Saurabh Gupta | Student in an Organized Health Care Education/Training Program | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2018-03-24 |
| 1992080956 | Saurabh Kumar Gupta | Occupational Therapist | 2075 Nw Highland Ave, Grant Pass, OR 97526 | 2011-10-20 |
| 1275816365 | Saurabh Gupta | Radiology | 3401 Civic Center Blvd, Department of Pediatric Radiology, Philadelphia, PA 19104-4319 | 2011-09-24 |
| 1972884856 | Saurabh Gupta | Psychiatry & Neurology | 500 Commack Rd, Commack, NY 11725-5020 | 2011-09-06 |
| 1336435189 | Saurabh Gupta | Internal Medicine | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2011-06-21 |
| 1356637185 | Saurabh Gupta | Clinical Neuropsychologist | 3990 Old Town Ave, Ste. A-208, San Diego, CA 92110-2930 | 2011-06-20 |
| 1457669228 | Saurabh Gupta | Internal Medicine | 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 | 2010-09-15 |
| Street Address |
610 E 12 MILE RD STE B |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447234323 | Ashok K Gupta | Internal Medicine | 610 E 12 Mile Rd, Madison Heights, MI 48071-2567 | 2005-12-03 |
| 1265662704 | Saurabh Gupta, M.d., Plc | Internal Medicine | 610 E 12 Mile Rd, Suite B, Madison Heights, MI 48071-2567 | 2009-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346433422 | Alexis Wagman Federman | Internal Medicine | 1385 E 12 Mile Rd Ste 100, Madison Heights, MI 48071 | 2007-08-22 |
| 1346306685 | Girija Maripudi | Internal Medicine | 121 W 13 Mile Rd, Madison Heights, MI 48071 | 2006-12-29 |
| 1326052820 | Howard L Dubin | Internal Medicine | 27483 Dequindre, Suite 205, Madison Heights, MI 48071 | 2006-07-28 |
| 1720079437 | James M Kohlenberg | Internal Medicine | 26505 John R Rd, Madison Heights, MI 48071-3611 | 2005-11-02 |
| 1366730020 | Helena Bulka | Internal Medicine | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2011-07-15 |
| 1952633992 | Specialists Visiting Physicians Pllc | Internal Medicine | 32500 Concord Dr, Suite 343, Madison Heights, MI 48071-1119 | 2010-02-01 |
| 1316111479 | Doctor Howard L Dubin PC | Internal Medicine | 27483 Dequindre Rd, Suite 205, Madison Heights, MI 48071-3491 | 2008-04-18 |
| 1326242132 | Tranmed PC | Internal Medicine | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2007-06-14 |
| 1609087204 | Slobodan Kovacevic | Internal Medicine | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2007-05-24 |
| 1699828632 | Evan M. Stashefsky | Internal Medicine | 27483 Dequindre Rd, Suite 302, Madison Heights, MI 48071-3491 | 2007-01-22 |
| Find all providers in MADISON HEIGHTS | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.