Individual
ANURADHA PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44199 DEQUINDRE RD STE 615, BEAUMONT PEDIATRIC SUBSPECIALTY CLINIC, TROY, MI 48085-1128
(248) 964-9660
(248) 964-9665
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
4301056840
MI
Other
Enumeration date
09/08/2005
Last updated
04/28/2025
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