Organization Active NPI

Ashok Prasad MD PC

  • Internal Medicine Physician
  • Novi, MI
National Provider Identifier
1477636660
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ASHOK PRASAD MD PC
Practice address
44000 W 12 Mile Rd
Ste 115
Novi, MI 48377-2644
Phone
(248) 449-1059
Fax
(248) 449-1092
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Dr. Ashok Ray Prasad, MD
Title
President
Phone
(248) 449-1059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

44000 W 12 Mile Rd
Ste 115
Novi, MI 48377-2644

Mailing address

44000 W 12 Mile Rd
Ste 115
Novi, MI 48377-2644
Phone (248) 449-1059

Other identifiers 1

IdentifierTypeStateIssuer
1731402MedicaidMI

National Provider Directory

National Provider Directory

Locations

33400 6 Mile Rd
Livonia, MI 48152
Phone (734) 421-2020

3455 Livernois Rd
Troy, MI 48083
Phone (248) 619-2020

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1477636660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44000 W 12 MILE RD",
            "address_2": "STE 115",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772644",
            "telephone_number": "248-449-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44000 W 12 MILE RD",
            "address_2": "STE 115",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772644",
            "telephone_number": "248-449-1059",
            "fax_number": "248-449-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHOK PRASAD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-449-1059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1731402",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.