Organization
ARTURO PRADA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTURO PRADA M.D. (PRESIDENT)
(248) 652-1202
Entity
Organization
Contact information
Practice address
6700 N ROCHESTER RD, SUITE 110, ROCHESTER HILLS, MI 48306-4362
(248) 652-1202
Mailing address
6700 N ROCHESTER RD, SUITE 110, ROCHESTER HILLS, MI 48306-4362
(248) 652-1202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AP4301034898
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110636241
MEDICARE
—
01
—
110636271
MEDICARE
—
01
—
110636274
BLUE CROSS BLUE SHILED
—
01
—
1106362741
MEDICARE
—
01
—
1427030147
BLUE CROSS BLUE SHILED
—
05
—
1427030147
—
MI
Enumeration date
05/06/2008
Last updated
05/06/2008
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