Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORGE A PRADA, CNS
Active Sole ProprietorDR. JORGE A PRADA, CNS is a 132700000X healthcare provider located in CLARKSTON, Michigan. NPI 1588089684 is currently active in the NPPES registry. Verify at CMS.
132700000X · CLARKSTON, MI
Registration Details
- NPI Number
- 1588089684
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2014 (12.421129394646 yrs)
- Last Updated
- Feb 26, 2014
- License
-
12017 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5885 S MAIN STSUITE 6BCLARKSTON, MI, 483462981Browse MI providers · Browse ZIP 48346
- Phone
- 2487076367
- Fax
- 2487076233
- Primary Specialty
-
132700000X
132700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.