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

Shivanhalli Prakash, MD

Individual provider Surgery Physician · NPI 1245343250

Shivanhalli Prakash, MD is a General Surgery in Clinton Twp, Michigan. Qualified in 1973, 53 years ago. Practices with Henry Ford Macomb Hospital Corporation, a 339-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
53
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

43311 Commons Dr
Clinton Twp, MI 48038-1109
Phone: (586) 263-8555
Fax: (586) 263-8558
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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 number1245343250
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Group practice Henry Ford Macomb Hospital Corporation — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clinton Twp