Chinnaiyan, Prakash

Chinnaiyan, Prakash is an individual health care provider with primary practice located at 3577 W 13 Mile Rd , Royal Oak MI 48073-6710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Chinnaiyan, Prakash can be contacted via phone (248) 551-7020.

Contact Information

Primary practice address
3577 W 13 Mile Rd Royal Oak MI 48073-6710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X 47459 Wisconsin
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 4301106591 Michigan

Profile Details

NPI number 1467402172
LBN Legal business name Chinnaiyan, Prakash
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467402172 NPPES
Florida Other 91404 BLUE CROSS BLUE SHIELD
Florida MEDICAID 277447000 BLUE CROSS BLUE SHIELD

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