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

Shivana N. Prakash Mdpc

Organization Surgery Physician · NPI 1457409971

Shivana N. Prakash Mdpc is a Surgery Physician in Clinton Twp, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

43311 Commons Dr
Clinton Twp, MI 48038-1109
Phone: (586) 263-8555
Fax: (586) 263-8558
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence SP407447 (MI)

Record details

NPI number1457409971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shivana Prakash — General Surgeon · (586) 263-8555
NPI enumeratedJanuary 8, 2007
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address43311 Commons Dr, Clinton Twp, MI 48038-1109

Other providers in Clinton Twp