DR. SANJEEV PRAKASH (NPI# 1760515803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760515803 |
| Entity Type | Individual |
| Full Name | DR. SANJEEV PRAKASH |
| Credential | M.D |
| Practice Address |
4705 Towne Centre Rd Ste 303 Saginaw MI 48604-2818 |
| Practice Telephone | 9897976700 |
| Mailing Telephone | 9897976700 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
4301058729 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HELATHPLUS | 0107338422 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 0733842 | 01 |
| MI | BLUE CARE NETWORK | 0733842 | 01 |
| MI | 2910598 | 05 |
| Street Address |
4705 TOWNE CENTRE RD STE 303 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48604-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737229 | William David Macinnes | Clinical Neuropsychologist | 4705 Towne Centre Rd, Ste 304, Saginaw, MI 48604-2821 | 2005-08-10 |
| 1902283955 | Zubeda S Khan Md Pllc | Family Medicine | 4705 Towne Centre Rd, Suite 204, Saginaw, MI 48604-2818 | 2015-04-29 |
| 1295123586 | Saginaw Horizon Physical Therapy and Rehabilitation, Pllc | Clinic/Center | 4705 Towne Centre Rd, Suite 101, Saginaw, MI 48604-2818 | 2015-01-08 |
| 1649608993 | Rama C Mulpuri Md Pllc | Internal Medicine | 4705 Towne Centre Rd, 203, Saginaw, MI 48604-2818 | 2013-10-24 |
| 1417380007 | Shannon Froese | Psychologist | 4705 Towne Centre Rd, Medical Arts I, Suite 304, Saginaw, MI 48604-2818 | 2013-08-19 |
| 1053682633 | Srikanth Peachera | Physical Therapist | 4705 Towne Centre Rd, Ste 101, Saginaw, MI 48604 | 2012-01-13 |
| 1265613830 | Rama Cherukuri Mulpuri Md | Internal Medicine | 4705 Towne Centre Rd, Suite 203, Saginaw, MI 48604-2819 | 2007-11-23 |
| 1841409596 | Prathima Peachera | Physical Therapist | 4705 Towne Centre Rd, Ste 101, Saginaw, MI 48604 | 2007-05-21 |
| 1740330414 | Nikolai Kinachtchouk,m.d. & Lioudmila Kinachtchouk,m.d. P.l.c. | Internal Medicine | 4705 Towne Centre Rd, Ste 102, Saginaw, MI 48604-2818 | 2007-01-12 |
| 1831152446 | David Brian O'donnell | Specialist | 4705 Towne Centre Rd, Suite 301, Saginaw, MI 48604-2818 | 2006-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
| 1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
| 1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
| 1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
| 1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
| 1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
| 1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
| 1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
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| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1861574204 | Jonathan Rene | Internal Medicine | 2172 Hemmeter Road, Saginaw, MI 48603 | 2006-10-19 |
| 1205805900 | Albert Sm Manlapit | Internal Medicine | 5446 Hampton Pl, Ste A, Saginaw, MI 48604-8213 | 2006-03-15 |
| 1801414941 | Covenant Pathology Associates PC | Internal Medicine | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-07-06 |
| 1740681790 | Divya Jayakumar | Internal Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2014-09-09 |
| 1386924132 | Saginaw Cooperative Hospitals, Inc | Internal Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2011-08-25 |
| 1417178179 | Valley Rheumatology Associates, Pllc | Internal Medicine | 4701 Towne Centre Rd, Medical Arts #2 Suite 101, Saginaw, MI 48604-2834 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655469 | American Arthritis & Rheumatology Associates Mi Pllc | Internal Medicine | 1669 Hamilton Rd Ste 200, Okemos, MI 48864-1961 | 2018-07-03 |
| 1033413661 | Rheumatology PC | Internal Medicine | 360 E Chicago St Ste 111, Coldwater, MI 49036-2086 | 2010-12-22 |
| 1295036507 | Arden Gene Alexander | Internal Medicine | 79 Watershore Dr, Muskegon, MI 49444-7746 | 2010-11-03 |
| 1467763201 | Nina Ramessar | Internal Medicine | 3950 Hollywood Rd Ste 288, Saint Joseph, MI 49085-9159 | 2010-06-26 |
| 1407084064 | Davi Ponte De Sa Leitao | Internal Medicine | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2009-06-22 |
| 1275790156 | V Geravipoolvorn Md PC | Internal Medicine | 28345 Utica Rd, Roseville, MI 48066-2566 | 2008-05-19 |
| 1285800268 | Dianne Kay Trudell, Md | Internal Medicine | 5085 W Bristol Rd, Flint, MI 48507-2922 | 2008-04-30 |
| 1295901288 | Jolanta Sobotka-czarnecki Md Pllc | Internal Medicine | G-5085 West Bristol Rd., Flint, MI 48507-2922 | 2008-04-30 |
| 1144411299 | David K. Vallance, M.d., P.C. | Internal Medicine | 3055 Plymouth Rd Ste 102, Ann Arbor, MI 48105-3208 | 2007-08-05 |
| 1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
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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.