Individual
DR. PINNAMANENI RAMAKRISHNA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301036210
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110179431C30371
TRAVELERS MEDICARE
MI
01
—
110Q26434
BCBS
MI
01
—
118544
GREAT LAKES HEALTH PLAN
MI
01
—
120671
CARE CHOICES
MI
05
—
18210990445
—
MI
01
—
204980
FEDERAL BLACK LUNG
MI
01
—
3575
CAPE HEALTH PLAN
MI
05
—
4241568
—
MI
01
—
4540391
AETNA
MI
01
—
C5579
M-CARE
MI
01
—
G02484
BLUECARE NETWORK
MI
01
—
P99362
BLUECARE NETWORK
MI
Enumeration date
08/10/2005
Last updated
06/22/2026
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