Individual
DR. MAMATHA PRABHAKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-2335
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-4505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
215844
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103915
—
MA
Enumeration date
04/14/2006
Last updated
03/17/2025
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