Individual
PRAKRITA BHUSHAN UDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-3839
(781) 744-1597
Mailing address
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-3839
(781) 744-1597
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
242909
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086123A
—
MA
Enumeration date
05/29/2008
Last updated
03/26/2019
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