Prasad, Jwala
Prasad, Jwala is an sole proprietor health care provider with primary practice located at 5848 Executive Drive , Lansing MI 48911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Prasad, Jwala can be contacted via phone (517) 882-8222.Contact Information
Primary practice address
5848 Executive Drive
Lansing MI 48911
Phone: (517) 882-8222
Fax: (517) 882-5345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301036522 | Michigan |
Profile Details
| NPI number | 1851365407 |
|---|---|
| LBN Legal business name | Prasad, Jwala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Dec 12th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851365407 | NPPES |
| Michigan | MEDICAID | 101344294 | |
| Michigan | Other | 0330506 |
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