ANURADHA PRABHU (NPI# 1083608806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083608806 |
| Entity Type | Individual |
| Full Name | ANURADHA PRABHU |
| Credential | MD |
| Practice Address |
44199 Dequindre Rd Ste 615 Beaumont Pediatric Subspecialty Clinic Troy MI 48085-1128 |
| Mailing Address |
26901 Beaumont Blvd Ste 3d Southfield MI 48033-3849 |
| Practice Telephone | 2489649660 |
| Practice Fax Number | 2489649665 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
4301056840 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194773044 | Anuradha Prabhu | Emergency Medicine | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2006-05-04 |
| Street Address |
44199 DEQUINDRE RD STE 615 BEAUMONT PEDIATRIC SUBSPECIALTY CLINIC |
| City | TROY |
| State | MI |
| Zip Code | 48085-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431457 | Amanda Duemling | Dietitian, Registered | 44199 Dequindre Rd Ste 615, Troy, MI 48085-1128 | 2019-11-07 |
| 1336487727 | Mary Kathryn Musick | Nurse Practitioner | 44199 Dequindre Rd Ste 615, Troy, MI 48085-1128 | 2013-01-21 |
| 1811928047 | Mouhib Ayas | Internal Medicine | 44199 Dequindre Rd Ste 615, Troy, MI 48085-1128 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801453287 | Pediatric Cardiology of Southeastren Michigan | Pediatrics | 1934 Bluff Ct, Troy, MI 48098-6616 | 2019-05-21 |
| 1417222779 | Sujatha Buddhe | Pediatrics | 2289 Dorchester Dr N Apt 203, Troy, MI 48084-3723 | 2012-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316244304 | Rossitza Prokopieva Pironkova | Pediatrics | 43380 Woodward Ave Ste 105, Bloomfield Hills, MI 48302-5050 | 2011-02-28 |
| 1881709871 | Hani Zreik | Pediatrics | 900 Cooper Avenue, Suite 4200, Saginaw, MI 48602-5394 | 2006-08-20 |
| 1326080102 | James Lee Christiansen | Pediatrics | 1414 West Fair Ave, Ste 334, Marquette, MI 49855 | 2006-06-13 |
| 1700826542 | James L Christiansen Md PC | Pediatrics | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-08 |
| 1679511737 | Richard A. Humes | Pediatrics | 3901 Beaubien Blvd -, Childrens Hospital of Michigan 4th Fl, Detroit, MI 48201 | 2006-06-02 |
| 1174560668 | Peter P. Karpawich | Pediatrics | 3901 Beaubien - 4th Fl, Childrens Hospital of Michigan, Detroit, MI 48201 | 2006-06-01 |
| 1013977115 | Elliott Weinhouse | Pediatrics | 3535 W 13 Mile Rd Ste 108, Royal Oak, MI 48073-6770 | 2006-03-24 |
| 1770551301 | Hanna Michel Khouri | Pediatrics | 43380 Woodward Ave, Ste 105, Bloomfield Hills, MI 48302 | 2006-03-09 |
| 1013903947 | Linda Barbara Pauliks | Pediatrics | 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503-2559 | 2005-09-26 |
| 1639175342 | Stephen Christopher Cook | Pediatrics | 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 | 2005-06-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.