Saurabh Gupta, M.D., PLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

SG064922 Issued in MI

Legal business name

SAURABH GUPTA, M.D., PLC

Practice address

610 E 12 Mile Rd
Suite B
Madison Heights, MI 48071-2567

Phone

(248) 850-3116

Fax

(248) 850-3119

NPI assigned

Jul 17, 2009

Last updated

Dec 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Saurabh Gupta, M.D.NPI 1912926510

Title

Owner

Phone

(586) 741-8272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Saurabh Gupta, M.D.

  • Internal Medicine Physician
  • Madison Heights, MI
  • NPI 1912926510
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354406400000",
    "number": "1265662704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27521 OWEN CT",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480456860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E 12 MILE RD",
            "address_2": "SUITE B",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712567",
            "telephone_number": "248-850-3116",
            "fax_number": "248-850-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAURABH GUPTA, M.D., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2012-12-02",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SAURABH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-741-8272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "SG064922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taher Sapatwalla
• Rasha Mansour Sarafa, D.D.S.
• Maria Elizabeth Sarmiento, NP
• Istabrak Harith Sarsam, RPH
• Amanda C Saunders, AGACNP-BC
• Mathew Savaya, DDS
• Cynthia Angeline Sawaya
• Noreen Mary Schira, RPH
• Debra Ann Schmelzer, P.A.-C.
• Jennifer Julia Schneider Stahl

• Geriatric Medicine (Internal Medicine) Physician in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Geriatric Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.