Individual
MADHAVI S.V. PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
851 MIDDLE ST STE 3300, FALL RIVER, MA 02721-1779
(774) 613-1444
Mailing address
425 FRANKLIN ST, WRENTHAM, MA 02093-1237
(774) 847-9012
(774) 847-9736
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
235783
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110103948A
—
MA
Enumeration date
02/04/2009
Last updated
08/25/2021
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