Provider Demographics
NPI:1700264231
Name:GUPTA-RILEY, DEEPSHIKHA (MD)
Entity Type:Individual
Prefix:
First Name:DEEPSHIKHA
Middle Name:
Last Name:GUPTA-RILEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32255 NORTHWESTERN HWY
Mailing Address - Street 2:STE 170
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1577
Mailing Address - Country:US
Mailing Address - Phone:248-932-1250
Mailing Address - Fax:248-932-8977
Practice Address - Street 1:32255 NORTHWESTERN HWY STE 170
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1577
Practice Address - Country:US
Practice Address - Phone:248-932-1250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-17
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301107838207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine