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NPI Code Detail

MEDICARE: MISS PRACHI KSHIRSAGAR MSRD

MEDICARE: MISS PRACHI KSHIRSAGAR MSRD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian86117562MI

General Provider Information

NPI Number : 1588521629
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS PRACHI KSHIRSAGAR MSRD
Provider Business Mailing Address
First Line : 709 LAKE RIDGE RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-4497
Country : US
Telephone Number : 248-705-6003
Fax Number :
Provider Business Practice Location Address
First Line : 709 LAKE RIDGE RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-4497
Country : US
Telephone Number : 248-705-6003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ MISS PRACHI KSHIRSAGAR MSRD” Practice Location

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