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Individual
DR. VIKRAM PRASAD
Active
Individual
DR. VIKRAM PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301052236
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104700202
BCBS
MI
05
—
2861537
—
MI
Enumeration date
12/06/2006
Last updated
01/30/2008
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