Individual
DR. PRASANTH MOHAN NAVARASALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, 6C, DETROIT, MI 48201-2153
(313) 577-5310
Mailing address
76 W ADAMS AVE, APT. 402, DETROIT, MI 48226-1617
(248) 250-0733
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301101334
MI
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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