| Shivkumar Prabhu, M.d., P.c. | |
|
4160 John R Suite 702 Detroit MI 48201 | |
| (313) 832-6125 | |
| Not Available |
| Full Name | Shivkumar Prabhu, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4160 John R, Detroit, Michigan |
| Authorized Official Name and Position | Shivkumar Prabhu (OWNER) |
| Authorized Official Contact | 3138326125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shivkumar Prabhu, M.d., P.c. 4160 John R Suite 702 Detroit MI 48201 Ph: (313) 832-6125 | Shivkumar Prabhu, M.d., P.c. 4160 John R Suite 702 Detroit MI 48201 Ph: (313) 832-6125 |
| NPI Number | 1366534232 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366534232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | SP055656 (Michigan) | Primary |
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