Anuradha Prabhu MD

NPI 1083608806 - Pediatrics - 2080P0202X

NPI Details
NPI 1083608806
Gender Female
Enumeration Date 09/08/2005
Last Updated 03/08/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
44199 DEQUINDRE RD STE 615
BEAUMONT PEDIATRIC SUBSPECIALTY CLINIC
TROY MI, 48085-1128, US
Phone (248) 964-9660
Fax (248) 964-9665
Business Location
130 TOWN CENTER DR STE 203
BEAUMONT MEDICAL STAFF AFFAIRS
TROY MI, 48084-1744, US
Phone (248) 585-8233
Fax (586) 226-6949
Toxanomy
Taxonomy Code 2080P0202X
License State Michigan
License Number 4301056840
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According to our database, Anuradha Prabhu MD NPI is 1083608806, taxonomy code is 2080P0202X and license number is 4301056840, license state is located at Michigan. Anuradha Prabhu MD physically located at 44199 Dequindre Rd Ste 615, Troy MI, 48085-1128. NPI Number Anuradha Prabhu MD has the Individual type.

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1083608806 NPI number is provided on an as is basis without warranty of any kind. 1083608806 is maintained by the National Plan & Provider Enumeration System. The contents of Anuradha Prabhu MD are for informational purposes only.