Individual
BALA SHANKER PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
264, PINE RIDGE DR, BLOOMFIELD HILLS, MI 48304
(248) 540-7971
Mailing address
264, PINE RIDGE DR, BLOOMFIELD HILLS, MI 48304
(248) 540-7971
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32082
MI
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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