Individual
DR. PRABHAT KOPPERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL, ANN ARBOR, MI 48109-5048
(734) 936-4280
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301087385
MI
207LP3000X
Pediatric Anesthesiology Physician
Primary
4301087385
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301087385
MI
Other
Enumeration date
03/30/2007
Last updated
05/20/2020
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