Individual
DR. MADHAVI RATNAM PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
15 PARKMAN STREET, WACC 812, DEPARTMENT OF PSYCHIATRY, MGH, BOSTON, MA 02114
(617) 726-2000
(617) 726-7541
Mailing address
15 PARKMAN STREET, WACC 812, DEPARTMENT OF PSYCHIATRY, MGH, BOSTON, MA 02114
(617) 726-2000
(617) 726-7541
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
155703
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187887
—
MA
Enumeration date
03/08/2006
Last updated
12/19/2012
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