Individual
DR. SANJEEV PRAKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4705 TOWNE CENTRE RD, STE 303, SAGINAW, MI 48604-2818
(989) 797-6700
Mailing address
4705 TOWNE CENTRE RD, STE 303, SAGINAW, MI 48604-2818
(989) 797-6700
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301058729
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107338422
HELATHPLUS
MI
01
—
0733842
BLUE CARE NETWORK
MI
05
—
2910598
—
MI
Enumeration date
03/14/2007
Last updated
07/09/2007
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