Bandari, Prakash
Bandari, Prakash is an individual health care provider with primary practice located at 67 Union St Ste 503 , Natick MA 01760-7700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bandari, Prakash can be contacted via phone (508) 651-9503.Contact Information
Primary practice address
67 Union St Ste 503
Natick MA 01760-7700
Phone: (508) 651-9503
Fax: (508) 651-9504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 155560 | Massachusetts |
Profile Details
| NPI number | 1407812084 |
|---|---|
| LBN Legal business name | Bandari, Prakash |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Oct 25th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407812084 | NPPES |
| Massachusetts | MEDICAID | 3188019 | |
| Massachusetts | Other | 0026813 | |
| Massachusetts | Other | J18679 | |
| Massachusetts | Other | 155560 | |
| Massachusetts | Other | 692705 |
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