Vikram Prasad, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301052236 Issued in MI

Practice address

775 South Grand Ave
Fowlerville, MI 48836-0768

Phone

(517) 223-7800

Fax

(517) 223-7814

NPI assigned

Dec 6, 2006

Last updated

Jan 30, 2008By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vikram Prasad

  dba Fowlerville Family Practice Clinic

  • Family Medicine Physician
  • Fowlerville, MI
  • NPI 1023156270
  NPD (past) Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1871652065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SOUTH GRAND AVE",
            "address_2": "PO BOX 768",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488360768",
            "telephone_number": "517-223-7800",
            "fax_number": "517-223-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SOUTH GRAND AVE",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488360768",
            "telephone_number": "517-223-7800",
            "fax_number": "517-223-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "VIKRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301052236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0104700202",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2861537",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael James Murphy, D.C.
• David R Palan, RPH
• Paritaben Patel, PN
• Truc Nguyen Patel, PHARM D.
• Molly Jean Russell Pauli, D.D.S.
• Eileen Palad Ramos, PT
• Reflective Roots Counseling
• Renal Treatment Centers - Illinois Inc (Fowlerville Dialysis)
• John Robertson, DDS
• Tegan Wetherbee Roobol, DPT

• Family Medicine Physician in Fowlerville, MI
• Providers in Fowlerville, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.