Soares, Prakash M
Soares, Prakash M is an individual health care provider with primary practice located at 15200 Kercheval St , Grosse Pointe Park MI 48230-1356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Soares, Prakash M can be contacted via phone (313) 417-6100.Contact Information
Primary practice address
15200 Kercheval St
Grosse Pointe Park MI 48230-1356
Phone: (313) 417-6100
Fax: (313) 417-6107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301057082 | Michigan |
Profile Details
| NPI number | 1124020664 |
|---|---|
| LBN Legal business name | Soares, Prakash M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jul 8th, 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 | 1124020664 | NPPES |
| Michigan | MEDICAID | 2999173 |
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