Prasad, Sujatha
Prasad, Sujatha is an individual health care provider with primary practice located at 2200 Springport Rd , Jackson MI 49202-1432. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Prasad, Sujatha can be contacted via phone (517) 784-9356.Contact Information
Primary practice address
2200 Springport Rd
Jackson MI 49202-1432
Phone: (517) 784-9356
Fax: (517) 780-9286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301060650 | Michigan |
Profile Details
| NPI number | 1942206545 |
|---|---|
| LBN Legal business name | Prasad, Sujatha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1942206545 | NPPES |
| Michigan | MEDICAID | 4744226-10 |
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