Shivana N. Prakash Mdpc

LBN: Shivana N. Prakash Mdpc
Shivana N. Prakash Mdpc is an health care organization with primary practice located at 43311 Commons Dr , Clinton Twp MI 48038-1109. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Shivana N. Prakash Mdpc can be contacted via phone (586) 263-8555, or through Prakash, Shivana N via phone (586) 263-8555.

Contact Information

Primary practice address
43311 Commons Dr Clinton Twp MI 48038-1109
Phone: (586) 263-8555
Fax: (586) 263-8558
Website:
Map and Directions
Authorized official contact:
Name: Prakash, Shivana N Doctor of Medicine (MD)
Phone: (586) 263-8555

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X SP407447 Michigan

Profile Details

NPI number 1457409971
LBN Legal business name Shivana N. Prakash Mdpc
DBA Doing business as
Authorized official Prakash, Shivana N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457409971 NPPES
Michigan MEDICAID 3180584

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