Individual
SANJAY P PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVENUE, CHILDREN'S HOSPITAL BOSTON/RADIOLOGY, BOSTON, MA 02115
(617) 355-6936
(617) 730-0549
Mailing address
300 LONGWOOD AVENUE, CHILDREN'S HOSPITAL BOSTON/RADIOLOGY, BOSTON, MA 02115
(617) 355-6936
(617) 730-0549
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
239721
MA
282NC2000X
Children's Hospital
239721
MA
Other
Enumeration date
05/21/2009
Last updated
06/03/2014
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