Individual
ARVIND PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 PAGE AVE STE 203, JACKSON, MI 49201-2419
(517) 205-7847
Mailing address
309 PAGE AVE, JACKSON, MI 49201-2419
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301058337
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301058337
MI
Other
Enumeration date
03/03/2006
Last updated
03/18/2021
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