Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prasad Mikkilineni MD

Organization Internal Medicine Physician · NPI 1740794312

Prasad Mikkilineni MD is an Internal Medicine Physician in Livonia, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
Specialties on file
2

Practice location Address checks out

36975 Five Mile Rd
Livonia, MI 48154-1871
Phone: (734) 464-0600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301039936 (MI)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 4301039936 (MI)

Record details

NPI number1740794312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Irene Martin — Biller · (734) 675-4273
NPI enumeratedNovember 19, 2017
Last updated in NPPESNovember 19, 2017
Mailing address18576 Shadyside St, Livonia, MI 48152-3246

Other providers in Livonia