Organization Active NPI

Prabhu, LLC

  • Preferred Provider Organization
  • Canton, MI
National Provider Identifier
1023353885
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
PRABHU, LLC
Practice address
43680 Laurelwood Dr
Canton, MI 48187-4916
Phone
(734) 620-2248
NPI assigned
Dec 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bhavinkumar Dalal, M.D.
Title
Owner/Sleep Med/Pulmon. Crit. Care
Phone
(734) 620-2248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

43680 Laurelwood Dr
Canton, MI 48187-4916

Mailing address

43680 Laurelwood Dr
Canton, MI 48187-4916
Phone (734) 620-2248

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1023353885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43680 LAURELWOOD DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874916",
            "telephone_number": "734-620-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43680 LAURELWOOD DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874916",
            "telephone_number": "734-620-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRABHU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "BHAVINKUMAR",
        "authorized_official_title_or_position": "OWNER/SLEEP MED/PULMON. CRIT. CARE",
        "authorized_official_telephone_number": "734-620-2248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.