PRASHANTH JYOTHI PRABAKARAN MD NPI 1508495383

NPI Information

Prashanth Jyothi Prabakaran, MD is a student in an organized health care education training program in Detroit, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Prashanth Jyothi Prabakaran, MD NPI is 1508495383. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4201 ST. ANTOINE
5E-UHC
DETROIT, MI
ZIP 48201
Phone: (608) 628-3514

The enumeration date for this NPI number is 4/3/2020 and was last updated on 4/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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