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Individual

DR. MALAVIKA PRABHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-2229
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-2229

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
23616
NH
207VM0101X
Maternal & Fetal Medicine Physician
262386
MA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
297366
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3137724
NH
Enumeration date
04/04/2011
Last updated
02/13/2023
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