PRASAD MIKKILINENI MD PLLC (NPI# 1629582226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629582226 |
| Entity Type | Organization |
| Organization Name | PRASAD MIKKILINENI MD PLLC |
| Practice Address |
36975 Five Mile Rd Livonia MI 48154-1871 |
| Mailing Address |
18576 Shadyside St Livonia MI 48152-3246 |
| Practice Telephone | 7344640600 |
| Mailing Telephone | 7346742739 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Authorized Official Name | MRS. IRENE MARTIN (BILLER) |
| Authorized Official Telephone | 7346742739 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301039936 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
36975 FIVE MILE RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053577163 | Marianne Ervin Vesterfelt | Nurse Practitioner | 36975 Five Mile Rd, Livonia, MI 48154-1871 | 2008-07-29 |
| 1457826984 | Debra Ann Lambrix | Speech-Language Pathologist | 36975 Five Mile Rd, Livonia, MI 48154-1871 | 2018-10-11 |
| 1821580531 | Kristen Patterson | Occupational Therapist | 36975 Five Mile Rd, Livonia, MI 48154-1871 | 2018-05-30 |
| 1245730712 | Shari Wahl | Occupational Therapist | 36975 Five Mile Rd, Livonia, MI 48154-1871 | 2018-02-20 |
| 1992205462 | Eric Wahl | Occupational Therapist | 36975 Five Mile Rd, Livonia, MI 48154-1871 | 2018-02-20 |
| 1689174435 | Dawnmarie Kozlowski | Occupational Therapist | 36975 Five Mile Rd, Livonia, MI 48154-1871 | 2018-02-19 |
| 1811497506 | Jeena Mary Alexander | Physical Therapist | 36975 Five Mile Rd, Livonia, MI 48154-1871 | 2018-02-19 |
| 1659885226 | Derek G. Desouza Md Pllc | Internal Medicine | 36975 Five Mile Rd, Livonia, MI 48154-1871 | 2017-11-19 |
| 1740794312 | Prasad Mikkilineni Md | Internal Medicine | 36975 Five Mile Rd, Livonia, MI 48154-1871 | 2017-11-19 |
| 1306370879 | Sarah Belinov | Nurse Practitioner | 36975 Five Mile Rd, Livonia, MI 48154-1871 | 2017-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740722446 | Sindhu Ramesh Md Pllc | Internal Medicine | 17177 N Laurel Park Dr Ste 439, Livonia, MI 48152-3938 | 2016-11-11 |
| 1902167737 | Rachel B Marcucci | Internal Medicine | 14600 Farmington Rd Ste 105, Livonia, MI 48154-5431 | 2012-06-07 |
| 1255656989 | Somnath Chowdhury | Internal Medicine | 20280 Middlebelt Rd Ste 500, Livonia, MI 48152-2002 | 2010-04-06 |
| 1932300803 | Middlebelt Medical Center, Plc | Internal Medicine | 16322 Middlebelt Rd, Livonia, MI 48154-3316 | 2007-05-30 |
| 1689875726 | Livernois Clinic, P.C. | Internal Medicine | 17330 Farmington Rd, Livonia, MI 48152-3158 | 2007-05-29 |
| 1013132240 | Infinity Primary Care Pllc | Internal Medicine | 20276 Middlebelt, Suite 7, Livonia, MI 48152-2054 | 2007-04-14 |
| 1083759039 | Levan Internists PC | Internal Medicine | 15130 Levan Rd, Livonia, MI 48154-5027 | 2007-02-20 |
| 1235278805 | Miracle Visiting Professionals, Inc. | Internal Medicine | 16989 Farmington Rd, Livonia, MI 48154-2946 | 2007-02-06 |
| 1386781490 | Mark Petrous | Internal Medicine | 20224 Farmington Rd, Livonia, MI 48152 | 2007-01-30 |
| 1144386426 | Reva Morale Mccaskill | Internal Medicine | 17800 Newburgh Road, Suite 103, Livonia, MI 48152 | 2006-12-29 |
| Find all providers in LIVONIA | ||||
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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.