Individual
DEEPAK PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 FORD PL, DETROIT, MI 48202-3450
(800) 653-6568
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
(800) 653-6568
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301092111
MI
2084P0800X
Psychiatry Physician
D0086538
MD
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301092111
MI
Other
Enumeration date
07/11/2008
Last updated
04/01/2024
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