Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shivkumar Prabhu, MD, PC

Organization Gastroenterology Physician · NPI 1366534232

Shivkumar Prabhu, MD, PC provides Gastroenterology Physician services in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4160 John R Ste 702
Detroit, MI 48201
Phone: (313) 832-6125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence SP055656 (MI)

Record details

NPI number1366534232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shivkumar Prabhu — Owner · (313) 832-6125
NPI enumeratedSeptember 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4160 John R, Suite 702, Detroit, MI 48201

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