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Individual

DR. NIRU PRASAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
264 PINE RIDGE DR, BLOOMFIELD HILLS, MI 48304-2137
(180) 046-5320
Mailing address
264 PINE RIDGE DR, BLOOMFIELD HILLS, MI 48304-2137
(180) 046-5320

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301035598
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1542174-10
MI
Enumeration date
12/16/2008
Last updated
12/16/2008
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