Provider Demographics
NPI:1699326363
Name:PRASAD, MONIQUE SINGHAL (MD)
Entity type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:SINGHAL
Last Name:PRASAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MONIQUE
Other - Middle Name:
Other - Last Name:SINGHAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2909 E GRAND RIVER AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-4335
Mailing Address - Country:US
Mailing Address - Phone:517-364-8680
Mailing Address - Fax:
Practice Address - Street 1:2909 E GRAND RIVER AVE STE 302
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-4335
Practice Address - Country:US
Practice Address - Phone:517-364-8680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301510108207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine