Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ayush Gupta, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205773884

Ayush Gupta, MD is a Student in an Organized Health Care Education/Training Program in Warren, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11900 E 12 Mile Rd Ste 205
Warren, MI 48093-3499
Phone: (586) 582-7033
Fax: (586) 582-7034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4351056468 (MI)

Record details

NPI number1205773884
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2026
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026
Mailing address11900 E 12 Mile Rd Ste 205, Warren, MI 48093-3499

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