Doctor Name: | DR. CATRINA GRACE MURRAY-PRASAD |
NPI Number: | 1407894371 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 01056235A |
Business Practice Address: | 36475 West Five Mile Road Livonia, MI - 48154 |
Business Phone Number: | 7346551000 |
Business Fax Number: | 5742398511 |
Mailing Address: | 5301 E Huron River Drive, Mc 69504 YPSILANTI |
State: | MI |
Postal Code: | 481971051 |
Phone Number: | 7348278883 |
Fax Number: | 5742398511 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 09/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 01056235A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |