| Prowshchal Mahato, | |
|
5838 Metro Way Sw, Wyoming, MI 49519-9619 | |
| (616) 249-5300 | |
| Not Available |
| Full Name | Prowshchal Mahato |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 5838 Metro Way Sw, Wyoming, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801773775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901005917 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Prowshchal Mahato, 2342 Watertown Way, Grand Rapids, MI 49505-6043 Ph: () - | Prowshchal Mahato, 5838 Metro Way Sw, Wyoming, MI 49519-9619 Ph: (616) 249-5300 |
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