Individual
DR. PRAKASH RAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1681 WASHINGTON ST, BRAINTREE, MA 02184-7948
(781) 848-6040
(781) 843-1314
Mailing address
1681 WASHINGTON ST, BRAINTREE, MA 02184-7948
(781) 848-6040
(781) 843-1314
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
39034
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039034
TUFTS HEALTH PLAN
MA
05
—
2069008
—
MA
01
—
6128
HARVARD PILGRIM
MA
01
—
C03040
BLUE CROSS
MA
Enumeration date
04/05/2006
Last updated
03/20/2017
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