Prasanth Mohan Navarasala, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301101334 Issued in MI

Practice address

4201 Saint Antoine St
6C
Detroit, MI 48201-2153

Phone

(313) 577-5310

NPI assigned

Jul 11, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1821353178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W ADAMS AVE",
            "address_2": "APT. 402",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261617",
            "telephone_number": "248-250-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "6C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-577-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARASALA",
        "first_name": "PRASANTH",
        "middle_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301101334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Ann Boyana Naumoff, R.D., M.A,
• Maria Naushab, DO
• Michael D. Nauss, M.D.
• Guillermina Nava, MD
• Aishwarya Navalpakam
• Antonia L Navarro, PA-C
• Jose Navas Blanco, MD
• Someswara N Navuluri, MD
• Abdel Karim Nawfal, M.D
• Melissa Nayak, M.D.

• Surgery Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.