PRASAD L MIKKILINENI (NPI# 1871585562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871585562 |
| Entity Type | Individual |
| Full Name | PRASAD L MIKKILINENI |
| Credential | MD |
| Practice Address |
20206 Farmington Rd Livonia MI 48152-1412 |
| Practice Telephone | 2484764724 |
| Practice Fax Number | 2484767091 |
| Mailing Telephone | 2484764724 |
| Mailing Fax Number | 2484767091 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2007-12-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301039936 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 1108207022 | 01 | |
| MI | MEDICARE | 1108207022 | 01 |
| MI | 2908473 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831210244 | Prasad S Mikkilineni | Psychiatry & Neurology | 302 Ne 14th St, Leon, IA 50144-1206 | 2007-04-03 |
| Street Address |
20206 FARMINGTON RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679565378 | Derek George Desouza | Internal Medicine | 20206 Farmington Rd, Livonia, MI 48152-1412 | 2005-08-18 |
| 1427445931 | Nina Nandish | Nurse Practitioner | 20206 Farmington Rd, Livonia, MI 48152-1412 | 2015-04-22 |
| 1588099402 | Carol Ann Trapp | Nurse Practitioner | 20206 Farmington Rd, Livonia, MI 48152-1412 | 2013-09-10 |
| 1851585582 | Durga Yerasuri | Internal Medicine | 20206 Farmington Rd, Livonia, MI 48152-1412 | 2007-09-06 |
| 1548474315 | Freedom Medical Clinic PC | Internal Medicine | 20206 Farmington Rd, Livonia, MI 48152-1412 | 2007-05-10 |
| 1356386767 | Banathally Nanjundaswamy Nandish | Internal Medicine | 20206 Farmington Rd, Livonia, MI 48152-1412 | 2006-06-19 |
| 1467444018 | Zaheer G Ahmad | Internal Medicine | 20206 Farmington Rd, Livonia, MI 48152-1412 | 2005-08-19 |
| 1023000783 | Jay Maurice Daitch | Internal Medicine | 20206 Farmington Rd, Livonia, MI 48152-1412 | 2005-08-18 |
| 1811989668 | Edward John Pearce | Internal Medicine | 20206 Farmington Rd, Livonia, MI 48152-1412 | 2005-08-18 |
| 1679565451 | Rodolfo Santos Son | Internal Medicine | 20206 Farmington Rd, Livonia, MI 48152-1412 | 2005-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| 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 |
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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.