Individual
PRASHANT VITHAL MAHAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, 2ND FLOOR CS MOTT CHILDRENS HOSPITAL, ANN ARBOR, MI 48109-4205
(734) 936-4230
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
4301063655
MI
208000000X
Pediatrics Physician
4301063655
MI
Other
Enumeration date
06/01/2006
Last updated
09/14/2016
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