Individual
MS. MADHU-ASHNI PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-7295
Mailing address
2799 W GRAND BLVD, SUITE A3, DETROIT, MI 48202-2608
(313) 874-3081
(313) 874-4677
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006831
MI
Other
Enumeration date
02/24/2014
Last updated
02/08/2021
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