Individual
DR. JAI PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21008 WHEATON LN, NOVI, MI 48375-4753
(248) 348-3669
Mailing address
21008 WHEATON LN, NOVI, MI 48375-4753
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
4301070713
MI
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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