| Prasad Shankariah Md Pc | |
|
1201 South Dr Ste 131 Mt Pleasant MI 48858-3256 | |
| (989) 779-5250 | |
| (989) 779-5251 |
| Full Name | Prasad Shankariah Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1201 South Dr, Mt Pleasant, Michigan |
| Authorized Official Name and Position | Florence E Kavanagh (SUPERVISOR) |
| Authorized Official Contact | 9897795250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prasad Shankariah Md Pc 1201 South Dr Ste 131 Mt Pleasant MI 48858-3256 Ph: (989) 779-5250 | Prasad Shankariah Md Pc 1201 South Dr Ste 131 Mt Pleasant MI 48858-3256 Ph: (989) 779-5250 |
| NPI Number | 1548278997 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 06/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548278997 | NPI | - | NPPES |
| 4381630 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301066496 (Michigan) | Primary |
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