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Individual

PRAKASH BANDARI

Active
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Individual

PRAKASH BANDARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
155560
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0026813
NEIGHBORHOOD HEALTH
MA
01
155560
TUFTS
MA
05
3188019
MA
01
692705
HARVARD PILGRIM
MA
01
J18679
BLUE CROSS
MA
Enumeration date
04/24/2006
Last updated
10/25/2023
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