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1942206545
SUJATHA PRASAD
JACKSON, MI
NPI
1942206545
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Former Name
SUJATHA NATWA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301060650)
Enumeration Date
2005-06-28
Last Update Date
2007-07-09
Business Address
Dr. SUJATHA PRASAD MD
2200 SPRINGPORT RD
JACKSON, MI 49202-1432
Phone number: 517-784-9356
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Mailing Address
Dr. SUJATHA PRASAD MD
2298 SPRINGPORT RD STE B
JACKSON, MI 49202-1475
Phone number: 517-784-3950
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