Organization Active NPI

Raj K Gupta MD PC

  • Plastic Surgery Physician
  • Taylor, MI
National Provider Identifier
1013945971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RAJ K GUPTA MD PC
Practice address
10501 N Telegraph Road
Suite 104
Taylor, MI 48180-3376
Phone
(313) 299-9568
Fax
(313) 299-9569
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raj Kumar Gupta, MD
Title
President
Phone
(313) 299-9568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

10501 N Telegraph Road
Suite 104
Taylor, MI 48180-3376

Mailing address

10501 N Telegraph Road
Suite 104
Taylor, MI 48180-3376
Phone (313) 299-9568

National Provider Directory

National Provider Directory

Locations

10501 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-7200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013945971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 N TELEGRAPH ROAD",
            "address_2": "SUITE 104",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803376",
            "telephone_number": "313-299-9568",
            "fax_number": "313-299-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 N TELEGRAPH ROAD",
            "address_2": "SUITE 104",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803376",
            "telephone_number": "313-299-9568",
            "fax_number": "313-299-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ K GUPTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-299-9568",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.