Anuradha Prabhu
Pediatric Cardiologist
44199 Dequindre Rd Ste 615 Beaumont Pediatric Subspecialty Clinic
Troy
, Michigan 48085-1128
Anuradha Prabhu
Pediatric Cardiologist
44199 Dequindre Rd Ste 615 Beaumont Pediatric Subspecialty Clinic
Troy
, Michigan 48085-1128
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Anuradha Prabhu
- 26901 Beaumont Blvd Ste 3d
- Southfield, MI
- Zip : 48033-3849
- Phone :
Second Address
- Anuradha Prabhu
- 44199 Dequindre Rd Ste 615 Beaumont Pediatric Subspecialty Clinic
- Troy, MI
- Zip : 48085-1128
- Fax : (248) 964-9665
- Phone : (248) 964-9660
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 4301056840 | MI |
National Provider Identifier
| NPI | 1083608806 |
|---|---|
| Provider Name | Anuradha Prabhu |
| First Address | Southfield, MI 48033-3849 |
| Second Address | Troy, MI 48085-1128 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2005 |
| Last Update Date | 20/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G34288 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.