Sham L Gupta MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SHAM L GUPTA MD PC

Practice address

15101 Southfield Rd
Suite 102
Allen Park, MI 48101-2697

Phone

(313) 389-9950

Fax

(313) 389-9952

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sham Lal Gupta, MD

Title

Owner

Phone

(734) 287-3733

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Ganesh Ramaswami, MD

  • Surgery Physician
  • Taylor, MI
  • NPI 1639268709
  NPD (past)
• Susanne Tracy, M.D.

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1770631343
  NPD (past)

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1760649933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 SOUTHFIELD",
            "address_2": "SUITE 102",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "48101",
            "telephone_number": "313-389-9950",
            "fax_number": "313-389-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 SOUTHFIELD RD",
            "address_2": "SUITE 102",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012697",
            "telephone_number": "313-389-9950",
            "fax_number": "313-389-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAM L GUPTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SHAM",
        "authorized_official_middle_name": "LAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-287-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093514",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Schram, DPM
• Jeffrey A Sekerak, D.D.S.
• Nandan Ashokbhai Shah, PT
• Shraddha Shah, PT
• Vinay Niranjan Shah, RPH
• Zeinab-Desiree Shamsedean
• Elizabeth Sharef
• Shaheen Shariff
• Carlos Shelton
• Rachel Shirey

• Surgery Physician in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.